Please complete this form to be considered for enrollment in HIV/AIDS/HepC Prevention for Recovery Coaches Registration being held Tuesday, May 18th, 2021 from 8:30am - 4:00pm.
Space is limited to 30 people. Completion of this form does not ensure registration. You will get either a confirmation email that you have been enrolled, or an email stating you are on the wait list.
Any questions please contact Lauren Chambers
lauren.e.chambers@hitchcock.org