Overdose Response Program (ORP)

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ONLINE TRAINING will be offered on TUESDAY NOVEMBER 15th 2022 at 4:00 p.m. The training may be accessed via Google Meets.
If you do not have this app on your smart device, you will need to download it. At the time of the training, you will enter the login code/copy and paste it into your browser:

meet.google.com/nxp-hhvq-ppz

IN-PERSON TRAINING will also be offered on TUESDAY NOVEMBER 15th at 5:00 p.m. To reserve a spot for in-person training, please call 301-759-5050.

Please provide the following information:

Email *

First Name *

Middle Initial

Last Name *

Which training are you requesting?

In Person (Brook Building Entrance #4)

Virtual (Google Meets)

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Sex (optional):

Male

Female

Genderqueer

Non-Binary

Transgender Man

Transgender Woman

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Other:

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Race/Ethnicity (optional) Check all that Apply:

American Indian or Alaskan Native

Black or African American

Native Hawaiian or Other Pacific Islander

White or Caucasian

Asian

Date of Birth: *

YYYY

Age:

Are you Hispanic or Latino?

Yes

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Please choose which category best describes your reason for obtaining overdose education and training:

Occupation

Volunteer Work

Family Member

Social Experience

Law Enforcement

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Street/PO Box *

City *

State *

Zip Code *

Phone Number: *

A copy of your responses will be emailed to the address you provided.

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