Registration for 11/6 Meeting of the Undergraduate Network for Public Health and Global Health Education

Please complete the information below.

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* 1. A representative from my institution plans to attend the ASPPH Undergraduate Network meeting at APHA on Monday, November 6 from 3:30- 5:30 PM in Atlanta, Georgia.

Yes

No

Unsure at this time

Comments:

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* 2. Name of Institution:

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* 3. Our institution will be represented by:

First and Last Name: *

Title:

Email Address: *

Phone Number (optional):

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* 4. A portion of the Network meeting will be dedicated to table top discussions. Please help us identify appropriate topics by answering the question: "What issues, pertinent to public health and global health undergraduate education, keep you up at night?"