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1. Employing agency name:

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2. If your transportation employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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3. Who can we count on to help us coordinate with transportation meetings?

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4. If your maintenance employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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5. Who can we count on to help us coordinate with maintenance meetings?

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6. If your custodial employees have mandatory "in-service" meetings/orientations where LSERS could be listed as a participant on the agenda, please indicate the anticipated date and time of meeting.

Date
Time

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7. Who can we count on to help us coordinate with custodial meetings?

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8. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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9. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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10. Please share topic/subject you feel education is most desired and your suggested method of presentation.

  On-site Group On-site Individual Webinar Any/All
Location

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11. Additional comments

T