"Georgia Office of Dispute Resolution Trainer Reporting Form" - Georgia (United States)

Georgia Office of Dispute Resolution Trainer Reporting Form is a legal document that was released by the Judicial Council of Georgia - a government authority operating within Georgia (United States).

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Georgia Office of Dispute Resolution Trainer Reporting Form
(Use only for trainings that have GODR approval;
do not use for practicums or continuing education seminars)
Name of Approved Trainer ______________________________________________________________
Date of Training _________________ Location of Training ___________________________________
Type of Training ______________________________________________________________________
Roster of Trainees
1. _______________________________________ 2. ________________________________________
3. _______________________________________ 4. ________________________________________
5. _______________________________________ 6. ________________________________________
7. _______________________________________ 8. _______________________________________
9. _______________________________________ 10. _______________________________________
11. _______________________________________ 12. _______________________________________
13. _______________________________________ 14. _______________________________________
15. _______________________________________ 16. _______________________________________
17. _______________________________________ 18. _______________________________________
19. _______________________________________ 20. _______________________________________
21. _______________________________________ 22. _______________________________________
23. _______________________________________ 24. _______________________________________
25. _______________________________________ 26. _______________________________________
27. _______________________________________ 28. _______________________________________
29. _______________________________________ 30. _______________________________________
Total Number of Trainees: ____________
x $25 = Total Remittance Enclosed ____________
Thank you
Office Use Only
Date Received ________________________________
Check Number _______________
Georgia Office of Dispute Resolution Trainer Reporting Form
(Use only for trainings that have GODR approval;
do not use for practicums or continuing education seminars)
Name of Approved Trainer ______________________________________________________________
Date of Training _________________ Location of Training ___________________________________
Type of Training ______________________________________________________________________
Roster of Trainees
1. _______________________________________ 2. ________________________________________
3. _______________________________________ 4. ________________________________________
5. _______________________________________ 6. ________________________________________
7. _______________________________________ 8. _______________________________________
9. _______________________________________ 10. _______________________________________
11. _______________________________________ 12. _______________________________________
13. _______________________________________ 14. _______________________________________
15. _______________________________________ 16. _______________________________________
17. _______________________________________ 18. _______________________________________
19. _______________________________________ 20. _______________________________________
21. _______________________________________ 22. _______________________________________
23. _______________________________________ 24. _______________________________________
25. _______________________________________ 26. _______________________________________
27. _______________________________________ 28. _______________________________________
29. _______________________________________ 30. _______________________________________
Total Number of Trainees: ____________
x $25 = Total Remittance Enclosed ____________
Thank you
Office Use Only
Date Received ________________________________
Check Number _______________