AHEC Teacher Workshop
Date: July 19-20, 2024
Location: 
John A Burns School of Medicine, University of Hawaii 
651 Ilalo Street, Honolulu, HI 96813
Email *
First Name *
Last Name *
Phone Number *
Personal Email *
Which county do you reside in?  *
School *
Role *
I am interested in the travel scholarship (covers flight only) - For outer island participants only  *
Dietary Restrictions *
What do you hope to achieve in this two-day workshop?  *
Do you have any questions for the workshop organizers? *
A copy of your responses will be emailed to .
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