5/16/2022 Waitlist - Community Engagement: Intentionality and Health Equity

Thank you for your interest in attending our web conference, Community Engagement: Intentionality and Health Equity. Please fill out the survey below to be added to the waitlist. We will invite people from the waitlist to register as there are seats available.

The web conference will be recorded and we will email you with a link to view as soon as it becomes available. Additional web conferences will be offered soon -- we hope to connect with you then! Questions? Contact us at info@preventconnect.org.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Title

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* 5. Agency/Organization Name

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* 6. Are you representing a state health department who receives RPE funds, or a state coalition who receives DELTA funds from the Centers for Disease Control and Prevention?

Yes, representing a state health department receiving RPE funds from the Centers for Disease Control and Prevention

Yes, representing a state coalition receiving DELTA funds from the Centers for Disease Control and Prevention

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* 7. All who are registered for this web conference will be added to PreventConnect's mailing list. If you do not wish to be added, please select "opt out" below.

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