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April 24, 2024 In-Person Event
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Email
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Your email
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Last Name
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First Name
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Phone Number
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What is your primary professional discipline?
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Administrator
Advocate
Attorney
Clergy
Doctor
Educator
End-of-Life Doula
Entrepreneur
Financial
Funeral/Burial
Nurse
Retired
Social worker
Volunteer
Other:
Credentials (all that apply)
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APN
BS
BSN
CT
DO
JD
LCSW
LMSW
LMT
LPC
MD
MDiv
MS
MSW
PA
PhD
RN
Student
Other:
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What is your work setting?
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Clinic
College/University
Community
Home Office
Hospital
Hospice
Independent Living, Assisted Living, Skilled Nursing, Memory Care
Funeral Home
Palliative Care
Other:
Employer
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