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Test Webform
Test Webform
Name
First Name
Last Name
Email
Profession
Type of volunteer (Please choose all that apply):
Type of volunteer (Please choose all that apply):
Facilitator
Mentor
Expert panelist
Committee member
Zoom co-host
Technology expertise
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IPE interest (Please choose all that apply):
IPE interest (Please choose all that apply):
Intro to IPE
CLARION case competition
COVID-19
Disabilities
Global Health
Marijuana
One Health
Opioid Disorders
Team Behaviors (CPR)
Tobacco Cessation
Other…
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and
click
other selections. On a
PC hold the CTRL key
and
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other selections.
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Name
First Name
Last Name
Email
Profession
Is student attendance mandatory or optional?
CTIPH interprofessional activities available for invitations: (Please choose all that apply):
Climate and Health
Community Action Poverty Simulation
Disabilities
Global Health (Pharmacy, Nursing, Public Health)
Marijuana
One Health
Opioid Use Disorders
Pandemic
Tobacco Cessation
Weight-Inclusive Health
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