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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/
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First and Last Name:
*
Your answer
Email address:
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Your answer
School:
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School of Dentistry
School of Kinesiology
Medical School
School of Nursing (Ann Arbor)
College of Pharmacy
School of Public Health
School of Social Work
College of Education, Health, and Human Services (UM-Dearborn)
College of Health Sciences (UM-Flint)
School of Nursing (UM-Flint)
Other:
Title:
*
Your answer
Do you practice (community or clinical setting), teach, or both? Select all that apply.
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Practice
Teach
Other:
Required
Do you teach in a clinical and/or classroom setting? Select all that apply.
*
Clinical
Classroom
N/A
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
.
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