The Global Partnership for Zero Leprosy's Country Model Webinar Registration
Country Model Webinar: 29 May 2019, 8-9AM ET
First and Last Name
Will you attend the webinar?
Would you like to receive a copy of the webinar recording?
Which best describes your interest or work area in leprosy?
Person who has experienced leprosy
Working at an NGO
Working at a national leprosy programme
Researcher or scientist
Questions about the partnership's country model:
We're accepting questions about the country model to be addressed during the webinar Q&A.
What questions do you have about the country model?
Never submit passwords through Google Forms.
This form was created inside of The Task Force for Global Health, Inc..
Terms of Service