UNC Institute on Implementation Science - Virtual Session (June 18, 2020)
Please complete this form to register for the UNC Institute on Implementation Science - Virtual Session, which will take place on June 18, 2020 from 10:00 AM to 12:00 PM (EST). Details related to accessing the virtual session will be sent to you prior to the event via the email address you provide. If you have any questions related to registration, please contact Todd Jensen (jensen@unc.edu).

Registration is free.
Registrant First Name *
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Registrant Last Name *
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Name of Organization *
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Current Job/Position Title *
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Registrant Email Address *
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Please select the service type that best describes your work (check all that apply) *
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Please select the agency type that best describes your work setting (check all that apply) *
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How many years have you been working in your field? *
In the past, have you attended the Summer Institute on Implementation Science? *
Do you plan to attend the in-person UNC Institute on Implementation Science in December 2020? *
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