Keeping Our Community Academically Competitive Virtual Forum Registration Form
Special Guest Speakers: Dr. Margaret Hill and Gwen Dowdy-Rodgers
Event Timing: October 13, 2020 | 12:00Noon - 2:00PM
Event Location: Online via Zoom
Contact us at (877) 686-5334 | (909)646-7475 or
First Name *
Last Name *
Email Address *
Employer Name *
Title *
Work Mailing Address *
Phone *
How many years in your role?
Please indicate how many times you have attended the education forum?
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Which programs in your organization are typically encouraged to participate in? *
Are there any questions you'd like answered during the live webinar? *
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