Citizen Preparedness Training - Teresian House - 12/13/2023 Location: Teresian House; Saint Joseph's Hall; 200 Washington Avenue Extension; Albany, NY 12203 When: Wednesday, December 13, 2023 at 3:00PM 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. 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 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 Done