Location: Focusing Our Resources for Community Enlightenment (FORCE) - Beauchamp Branch Library, 2111 South Salina Street, Syracuse, NY 13205
When: Tuesday, May 7, 2024, 5:30PM

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address

Question Title

* 6. County of Residence

Question Title

* 7. Do you require reasonable accommodations? 
*Please allow at least 14 days to allow seamless implementation of your request.

Question Title

* 8. If you have a disability and require accommodations not mentioned above in order to fully participate in this training, describe your requirements here. Please allow at least 14 days to allow seamless implementation of your request. If you have questions please email: NY.Prepare@dhses.ny.gov

T