A CTLPA Breakfast Workshop
“Service Learning to Build Engaged Student Citizens”
Dr. Heather Shea Gasser & Dr. Zebulun Davenport
And
”The”
“The Impact of Mental Wellness and
the Role of Peer Support Systems
Dr. Sarah Chin Yuen Kee port Systems”
Registration Form
NAME:________________________________________________________________________
TITLE: Dr./Mrs./Ms./ Mr./ Other__________________________________________________
INSTITUTIONAL
AFFILIATION:__________________________________________________________________
MAILING ADDRESS :___________________________________________________________
EMAIL ADDRESS:_______________________________________________________________
TELEPHONE:__________________________
Cell:____________________________
PAYMENT AMOUNT: TT$ 200.00 (CTLPA Members)
TT$ 250.00 (CTLPA Non-Members)
PAYMENT TYPE: Cash ( )
Cheque ( )
Kindly make cheques payable to:
Caribbean Tertiary Level Personnel Association
_______________________________________________________________________
FOR OFFICIAL USE ONLY:
PAID IN FULL_____________
PARTIAL PAYMENT ______________
Please contact the Caribbean Tertiary Level Personnel Association (CTLPA), Trinidad and Tobago Chapter at
Please contact the Caribbean Tertiary Level Personnel Association (CTLPA), Trinidad and
Tobago Chapter at 868-750-6953 or email: Kevin.Snaggs@sta.uwi.edu;
chandar.supersad@sta.uwi.edu; sarah.kalloo-bhagwandeen@sta.uwi.edu;
chandra.ragoonath@sta.uwi.edu or shivonne.chengwing@utt.edu.tt
for further information.