Minnesota WIC Program
September 2007 Group Training Sessions
- Registration Form Store Name: _________________________________________________________________
Store Address: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Check the session number your store representative(s) will attend:

Session Number
Session 1
Session 2 –with Spanish interpreter
Session 3
Session 4
Session 5
Session 6
Session 7
Session 8
Session 9 –with Somali interpreter
Session 10
Session 11
Session 12 –with Hmong interpreter
Session 13
Session 14
Session 15
Session 16
Session 17
Session 18
Session 19
Session 20
Day
Wednesday
Thursday
Friday
Wednesday
Thursday
Friday
Saturday
Monday
Monday
Monday
Tuesday
Wednesday
Wednesday
Thursday
Friday
Monday
Tuesday
Tuesday
Wednesday
Thursday
Date
9/5/07
9/6/07
9/7/07
9/12/07
9/13/07
9/14/07
9/15/07
9/17/07
9/17/07
9/17/07
9/18/07
9/19/07
9/19/07
9/20/07
9/21/07
9/24/07
9/25/07
9/25/07
9/26/07
9/27/07
Time
1– 4 pm
1– 4:30 pm
1– 4 pm
1– 4 pm
10 am – 1 pm
10 am – 1 pm
9 am – noon
9 am – noon
1– 4:30 pm
6–9 pm
1-4 p.m.
9:00 am–12:30 pm
2–5 pm
1:30– 4:30 pm
1-4 p.m.
10 am – 1 pm
9 am – noon
2-5 pm
9 am – noon
1-4 p.m.
City
St. Paul
St. Paul
Apple Valley
Mankato
Willmar
Marshall
St. Paul
Rochester
St. Paul
St. Paul
Duluth
St. Paul
Hibbing
Brainerd
St. Paul
St. Cloud
Fergus Falls
Bemidji
Thief River Falls
St. Paul
Number of store staff attending (maximum of 3 per store): ________
Please list any specific items you would like us to address at the training sessions:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Submit this training form no later than August 21st in one of the following ways:
*
fax this form to Linda Dorsey at 651/215-8951
*
-or- call Linda Dorsey at 651/201-3585
*
-or- email the form to Linda Dorsey at: Linda.Dorsey@health.state.mn.us