2. Please complete the form below 4 days prior to your event. Materials will be ready 2 days prior.
4. Today's date
5. Your name
7. Date of the event
8. Name of the event
10. Printed materials needed:
12. Select all that are needed:

    1. WRC Rack Card (English)
    2. WRC Rack Card (Spanish)
    3. Virginia Career Works Job Seeker flyer (English)
    4. Virginia Career Works Job Seeker flyer (Spanish))
    5. WRC Workshop Rack Card
    6. Workshop Current Schedule
    7. Adult WIOA flyer
    8. Youth WIOA flyer
    9. Employer Services brochure
    10. Business cards: Employer Services Coordinator
14. Number of printed materials (from above)
16. Special topic brochures/booklets (please specify)
17. Other (such as; special event flyers, MTE flyers, etc.)
19. How many brochures/other flyers?
21. Promotional items needed:

    1. WRC Pens
    2. Giveaway bags w/ VCW logo
    3. VCW Post-it notes

    1. VCW business cards
    2. WRC Bag clips
23. Other promotional items (please list)
25. Staff items needed for event:

    1. Pens
    2. Clipboard(s)
    3. Sign In Sheet with Nwsltr & Job Posts
    4. Stapler
    5. Tape
    6. Black table covers
    7. Red table cover with logo
    8. White table cover with logo
    9. Table stands for documents/flyers
27. Special instruction for event materials (no staples, 2 sided copies, single sided, stapled packets, number of table covers, etc.)
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field