CHW Supervision Training Registration

Training will be held May 28th-May 30th, 2024

Please answer the questions below

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* 1. Full Name

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* 2. Email Address

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* 3. What Organization are you affiliated with?

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* 4. Current role at Organization

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* 5. You will be invoiced for this Training at a later date. Please acknowledge below that you will be responsible for payment.

Yes, I understand I will be responsible for the payment.