Gemini Ink Continuing Professional Education and Development Registration Form
If interested in attending workshops and other offerings to fulfill CPE hours and gain credit, fill out this form to the best of your ability. Please represent all information accurately. Certain survey questions are optional and used for grant reporting or internal assessment.
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Email *
Full Name *
Email Address *
Phone Number *
Address *
Full address, please include zip code. If you'd prefer to include your city council district, that is also allowed.
CPE Offering *
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