Thank you for your interest in attending the ITVS workshop! Attendance is limited to 25 people. To help us identify participants, please fill out this form to RSVP and tell us a bit about how the workshop may benefit you and your work.

As a reminder, the deadline to register is April 9. You will be informed about your participation in the workshop by April 15. The workshop will be held on April 22 from 12:30 p.m. to 5 p.m. in the Hertog Conference room located at 1875 Connecticut Avenue NW, Suite #520, Washington, D.C. 20009. 

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* 1. Name

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* 2. Organization

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* 3. Title

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* 4. Email

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* 5. Dietary Restrictions

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* 6. Why do you wish to participate in this workshop? How is the workshop relevant to the work of your organization?

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* 7. Does your organization currently conduct social and behavior change communication activities? Current engagement in these activities is not required for attendance in the workshop. However, if yes, please provide up to three examples.

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* 8. Please briefly describe the concrete ways that you expect to use or appy the skills and approaches gained from the workshop in your work.

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