The Great Staff Retreat

 May 1-3, 2019 Application Form:

 

 

If you see this don't fill out this input box.

Contact Information:

*Name

Provide your full name

*Email

Provide your Mt. SAC email address.

*Phone Number

Provide your work phone number.

*Job Title

Provide your job title.

*Department

Provide the department that you work for.

*Number of years at Mt. SAC

Number of years worked at Mt. SAC:

*Why are you interested in attending Great Staff Retreat?

Briefly explain why you are interested in participating in the Great Staff Retreat.

Supervisor/Manager Approval:

Manager Approval

Yes

No

Supervisor/Manager's Approval:

*Manager Name

Supervisor/Manager Name

*Today's Date

Submit   Cancel

 

If you have any questions, please contact one of the Great Staff Retreat facilitators.
Please complete the form to Barbara Carrillo in the Student Life Office (9C), by March 6, 2019