Citizen Preparedness Training - Farmingdale Public Library - 11/15/2024

Location: Farmingdale Public Library, 116 Merritt Road, Farmingdale, NY 11735

When: Friday, November 15, 2024, 11:00AM

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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. Phone Number

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* 5. Home Address

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* 6. County of Residence

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

Wheelchair Access

Hard of Hearing - Seat near speaker

Assistive Listening Device

American Sign Language (ASL)* You will be contacted to confirm this request.

Language Interpreter

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* 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