Central Piedmont Safety Council - North Carolina



Registration Form

Central Piedmont Safety Council

Workplace Violence Prevention Workshop

Tuesday, February 9, 2010, 8:00 AM to Noon

Location:

Davidson County Health Dept.

915 Greensboro St., Lexington, NC

Time:

8:00 AM Registration

8:30 AM Workshop

Topics:

•

• Workplace Violence Prevention

• Sexual Harassment

• Hostile Work Environments

Speaker: Johnny Lee, Director of Peace at Work in Raleigh, NC is a noted lecturer and trainer on workplace violence prevention. He has been a featured speaker at the NC Industrial Commission’s Statewide Safety Conference, the Wilmington Safety School, Human Resources Conferences and many others. Don’t miss this opportunity to hear an outstanding and energetic speaker.

Registration: Complete this form, save it on your PC. Email it as an attachment to Barbara Cassidy at: cassidba@. Or fax the completed registration form to: 336-727-8045.

Name:       Title:      

Employer/Company:      

Address:       City:       Zip:      

Phone:       Cell:       Email:      

Have you attended a CPSC workshop in the past? Yes: No:

Names of additional employees who will attend:

Name:       Title:      

Name:       Title:      

Name:       Title:      

Cost:

FREE to Individual and Business Members of CPSC

Business members may send multiple employees at no charge

Non-members may attend by paying the CPSC membership fee.

Please check one: Individual - $35: Business - $50:

Mail registration form and payment to: CPSC Treasurer, PO Box 2068, Jamestown, NC 27282

Directions:

See page 2 for detailed driving directions.

Directions To Davidson County Health Department

915 Greensboro St, Lexington

From: Greensboro

▪ Take Interstate 85 South toward Charlotte

▪ Take Exit 96 (US 64 West) toward Lexington

▪ Go approximately 3.5 miles

▪ Left lane will become N. Main Street/Downtown Exit (look for

4 story Governmental Center Bldg.)

▪ Follow N. Main St. for .2 miles and take right onto Health Center Dr.

▪ Immediately turn left into Governmental Center (4 story bldg.)

parking lot

▪ Health Department Building is on the right

▪ Training Room is on the 2nd floor

From: Charlotte

▪ Take Interstate 85 North toward Greensboro

▪ Take Exit 96 (US 64 West) toward Lexington

▪ Go approximately 3.5 miles

▪ Left lane will become N. Main Street/Downtown Exit (look for

4 story Governmental Center Bldg.)

▪ Follow N. Main St. for .2 miles and take right onto Health Center Dr.

▪ Immediately turn left into Governmental Center (4 story bldg.)

parking lot

▪ Health Department Building is on the right

▪ Training Room is on the 2nd floor

From: Winston-Salem

▪ Take US 52 South toward Lexington

▪ Take Exit 92 (NC-8) toward Lexington

▪ Go approximately 3 miles turn left onto US 29/70 – 85 Business North toward High Point/Greensboro

▪ Go approximately 1/2 mile and take the 1st exit (Downtown)

▪ (Look for 4 story Governmental Center Bldg.)

▪ Take immediate right onto Health Center Drive

▪ Immediately turn left into Governmental Center parking lot

▪ Health Department Building is on the right

▪ Training Room is on the 2nd floor

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