CARS Training Registration Form
for
Mentoring Coalition

Mentoring Coalition defined: Your organization is a collaboration or partnership of mentoring programs.


To Register:   Complete steps 1 and 2 for each individual interested in attending. Click the 'Submit Registration' button after each registrant. If additional information is needed you will be contacted by a CARS staff member. Important: You must include a fax number or email address to complete your registration and receive a registration confirmation. Thank you.

STEP 1 - Select A Workshop 

Please indicate the training you would like to attend by clicking on the drop down arrow and selecting a training. 

STEP 2 - Contact Information 
ID#:   Please enter the coalition ID #, if you know it.
Primary Contact First Name: 
Primary Contact Last Name: 
Primary Contact Title: 
Agency/Organization: 
Program Name: 
Street Address: 
  
City: 
State: 
Zip:  -
County: 
E-Mail:  
Web Address:  
Phone:   --  Ext:   
Fax:   -- 

 

Questions?   Contact: 

Shelly Boehm, Mentoring Project Manager
Center for Applied Research Solutions (CARS)
391 South Lexington Drive, Suite 110
Folsom, CA 95630
(916) 983-9506
(916) 983-5738
shellyb@emt.org