2020 Ohio Rural Health Conference Registration August 13th-14th Ohio University Grover Center 53 Richland Ave Athens, OH 45701 A tentative agenda will be made available on the conference website two months before the conference. OK Question Title * 1. Attendee Information Name * Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address * Phone Number OK Question Title * 2. What type of organization are you representing? Select all that apply. Critical Access Hospital Rural Health Clinic Local Health Department University Federally Qualified Health Center Free Clinic Healthcare Consultant/Vendor State Government Hospital Other (please specify) OK Question Title * 3. Which day(s) are you planning on attending? Thursday, August 13th Friday, August 14th OK Question Title * 4. Do you require a vegetarian meal? Breakfast and lunch will be provided both days. Yes No OK Question Title * 5. Would you have a problem having your contact information shared with fellow attendees? Yes No OK Question Title * 6. Would you be interested in obtaining nursing CEs for attending this conference? Yes No OK DONE