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* 1. Name

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* 2. Email address:

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* 3. What CERT Program are you affiliated with?

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* 4. What is your involvement in CERT

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* 5. What is your experience with online training?

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* 6. Which of the webinar(s) have you completed?

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* 9. If your state has not yet signed up for the Hybrid CERT Training please forward your State CERT Coordinators contact information to: info@nationalcert.org

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