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Recovery Ally training registration
contact details for upcoming training
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* Indicates required question
Just the facts...
First name
*
Your answer
Last name
*
Your answer
Preferred name
*
Your answer
Phone (in case of emergency cancellations or weather related events)
*
Your answer
Email
*
Your answer
Preferred Personal Pronouns
*
She/Her/Hers
He/Him/His
They/Them/Theirs
Prefer not to say
Other:
I am a...
*
VT Undergraduate student
VT Graduate student
VT Staff member
VT Faculty member
Community Member not employed by VT
Other:
Do you need a parking pass? Unfortunately we can't provide parking passes to VT faculty or staff
Yes - I confirm I am a visitor/guest at VT
No
Clear selection
Which VT department or function do you represent?
Your answer
How familiar are you with Recovery?
I know someone in recovery
I lost someone before they found recovery
I don't know what recovery is
I don't know enough
I am in recovery
Other:
Clear selection
Do you have any dietary requirements or preferences?
Your answer
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