BUILDING A WEALTH OF COMMUNITY HEALTH Regional Training - Arlington, VA - Thursday, March 21, 2013

 
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1. First Name:
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2. Last Name:
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3. Title:
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4. Organization:
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5. Email Address:
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6. Telephone Number:
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7. Select Session One (9:15-10:45 a.m.) Refer to agenda for details.
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8. Select Session Two (10:55 a.m. - 12:15 p.m.) Refer to agenda for details.
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9. Select Lunch Option
10. Select Interactive Round-table Sessions (2:45 - 4:15 p.m.) Refer to agenda for details. PLEASE CHOOSE SIX. While you will attend only three sessions, maximum participation of each session is 12 attendees. We will enroll these sessions on a first-come, first-served basis.
11. How did you hear about this training opportunity? Please indicate specific information (who told you, what listserv, what Facebook page, etc.)
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