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NAOBI-DC CMP Sponsorship Request Form
Please fill out the following this form for your sponsorship request
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* Indicates required question
Email
*
Your email
Ways to Earn CEU's
Requestors Name / Organization Name
*
Point of Contact
Your answer
Member of NAOBI-DC (Current)
*
Yes
No
Unsure
Type of Membership
*
Full
Student
Organization
Supporting
N/A
Workshop Title
*
Title of Workshop or Class for Academic Coursework Request
Your answer
Workshop Presenter/s
*
Please add all presenters.
Your answer
Brief Description of Event
*
Your answer
Type of CEU's Requested
Academic Coursework
Independent Study
PINRA
Sponsor Initiated Activities
Clear selection
Date of the Event
*
MM
/
DD
/
YYYY
Multiple Day Event
List each date
Your answer
Type of Event
*
Conference
Workshop
Webinar
Other:
A copy of your responses will be emailed to the address you provided.
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