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Portland Metropolitan Workforce Training Center
 
Facilities Request Form
Requestor
Date:
 

Name:

Phone#

E-Mail:

Program :
Location
Site:
Building No:
Room #:
Request

Type: 

Specific Date Needed:

Priority level

Description of Services Requested:

 

PCC Workforce Network is an Equal Opportunity Employer/ Program Auxiliary aids and services are available upon
request to individuals with disabilities. To place a free relays call in Oregon dial 711. This program financed in whole or in
part with funds provided through Worksystems, Inc. from the U.S. Department of Labor. 4/12/07

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