CT SOPHE Annual Membership Meeting Registration Form

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CT SOPHE Annual Membership Meeting Registration Form

Please submit this for to register for the CT SOPHE Annual Membership Meeting on Wednesday, January 26th at 5:30PM. A Zoom link will be sent via email to those who have registered in advance of the meeting.

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* Indicates required question

Name *

Your answer

Email *

Your answer

What best describes you?

Health Education Practitioner

Health Education Professional- Academic

Student

Other:

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What is your organizational affiliation?

Your answer

Are you currently a CT SOPHE Member? *

Yes

No

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