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2020 AWLS Roanoke
Please complete the following information to get credit and get your AWLS certificate. Non-required fields are optional... only if you need to update your information.
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Email
*
Your email
First Name: as you want it on your certificate
*
Your answer
Last Name: as you want it on your certificate
*
Your answer
Email Address
*
Your answer
Medical Degree (letters/abbreviation e.g. MD/DO/ENP/PAC)
*
Your answer
Need CME? (only for maintenance of a license, not usually for students)
*
Yes
No
Required
WMS number: fill in a zero if non-WMS member
*
Your answer
The rest is optional
You only need to update this if different than your initial registration.
VTC/Radford fellows and students NEED to fill out everything.
Address: optional... only if you need to update your information.
Your answer
Phone: optional... only if you need to update your information.
Your answer
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