IP Facilitation Workshop Registration
Thursday, September 5, 2019
3:00 - 5:00 pm
Palmer Commons - Great Lakes North

See link for details:
https://interprofessional.umich.edu/about/events-2/
First and Last Name: *
Your answer
Email address: *
Your answer
School: *
Title: *
Your answer
Do you practice (community or clinical setting), teach, or both? Select all that apply. *
Required
Do you teach in a clinical and/or classroom setting? Select all that apply. *
Required
Where do you want to apply the skills gained in this workshop? *
Your answer
If for any reason you are no longer able to attend the workshop, please notify Lindsay Telega at: ltelega@umich.edu.
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Michigan. Report Abuse - Terms of Service