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* 1. Name of Organization putting this training or event on:

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* 2. Please provide a contact person for more information about this event.

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* 3. Your Name, if different from above.

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* 4. Please provide a Title for this training/event

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* 5. Event/Training Date(s)

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* 6. Time of event (provide a start time and end time i.e 9:00 am - 5:00 pm)

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* 7. Location of Training/Event

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* 8. Is there a fee to attend this event?

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* 9. How to Register for training/event? Please provide contact person/email/phone or on-line registration link for more info on how to register.

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* 10. Brief description of training/event (not to exceed 400 characters)

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* 11. Intended audience: is this a AAA -only event? If you answer YES, we will restrict viewing access to AAA members and staff only.

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* 12. Intended audience: If this is for a specific sub-set (i.e. Directors, or HICAP coordinators only) please indicate whom this training is for.

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* 13. Additional info or comments you want to share with us?

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