CVHG Policy Workshop Registration
Please answer the questions below to complete your registration.
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Atlanta Metropolitan State College
Easley Conference Pavilion
Edwin Thompson Student Center Bldg.
1630 Metropolitan Parkway
Atlanta, GA 30310
9am - 4:30pm
Full Name *
Email Address *
Phone Number *
Are you a community health worker, or self-identify as such, and work in Georgia? *
Organization/Agency you work for: *
Position/Title *
Which workgroup would you like to participate in? *
Do you need enhanced accessibility supports for this training? If yes, please indicate the level of support below. *
Do you have any dietary requirements? *
How did you hear about this workshop? (Check all that apply.) *
Would you be interested in joining a listserv to support information sharing and coordination among state community health workers working to improve healthcare access?
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