REGISTRATION FORM
MS PLT
FACILITATOR TRAINING WORKSHOP
NOVEMBER 3-4, 2011 AT PLYMOUTH BLUFF CENTER
COLUMBUS, MS
NAME: _________________________________________
MAILING ADDRESS (PLEASE INCLUDE ZIP CODE)
Street Address________________________________________________________
City___________________________________________________________
State__________________________________________________________
Zip Code________________________________________________________
Telephone Numbers
Home_____________________________
Office_____________________________
Cell______________________________
E-mail_____________________________
Are you an African-American or a college/university professor or instructor?
Yes____________No___________
These are the target groups for my grant, and will receive first priority. Others will be accepted on a first come, first serve basis as space permits.
I am (Check all that apply)
College/University Professor or Instructor _________________
Other College/University Employee_______________________
College University Student_____________________________
Pre K - K Teacher ___________________________________
1st - 8th Grade Teacher________________________________
9th - 12th Grade Teacher_______________________________
Other Educator (4-H agent, for instance) ____________________
Natural Resource Professional____________________________
Other (describe) _____________________________________
Do you need a room? YES____________NO_______________
List any dietary restrictions/needs ________________________________________
_________________________________________________________________
________________________________________________________________
Please return via e-mail to handerson212@gmail.com, or mail to MS PLT, c/o Mississippi Forestry Commission, P.O. Drawer 429, Philadelphia, MS 39350. Please feel free to contact me via e-mail or call me at 601-613-5567 if you have any questions.
Directions to Plymouth Bluff: From Starkville: Take Highway 82 toward Columbus. Look for the Highway 45 Exit to Macon and Meridian (you should also see the Plymouth Bluff sign), take this exit, then turn LEFT and take the bridge back over Hwy. 82. (If you go over the waterway, you missed your exit.) Follow this road. It will take a sharp right hand curve and intersect with another road on the bank of the river. Turn left and go a mile or so and you will see the Plymouth Bluff sign on your right. Turn into the Plymouth Bluff driveway. Continue on past the cabins to the parking lot at the conference center.
From Meridian: Take 45 North, at Brooksville take the RIGHT FORK. Cross over Highway 82, this road will make a sharp right curve and intersect with another road on the bank of the Tombigbee River. Turn left and go a mile or so. You will see the Plymouth Bluff sign to your right. Turn into the driveway. Continue on past the cabins to the parking lot at the conference center.
From Columbus: Take Hwy 82 toward Starkville. Cross over the Ten-Tom Bridge. Take the Plymouth Bluff exit. Follow this road around a sharp right curve to an intersection on the river bank. Turn left and go a mile or so to the Plymouth Bluff sign. Turn right into the driveway and follow it past the cabins to the parking lot by the conference center.
From Tupelo: Take 45 Alternate through West Point. Continue on to the High 82 intersection and take the Columbus exit. Continue on to the Highway 45 S (Macon and Meridian) exit. You should see the Plymouth Bluff sign here. Exit then turn left back across Hwy 82. Continue on this road around a sharp right curve to the intersection on the river bank. Turn left and go a mile or so to the Plymouth Bluff sign on the right. Turn into the driveway and continue past the cabins all the way to the parking lot at the conference center.
GPS ADDRESS IS 2200 OLD WEST POINT ROAD
IF YOU GET LOST, CALL MY CELL PHONE AT 601-613-5567 AND SOMEONE WILL RESCUE YOU.
Thanks,
Harold Anderson,
MS-PLT Coordinator
