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Fall 2022 CPS Cohort Interest List
Please complete the form below to have your name added to the list of potential Fall 2022 CPS Cohort participants. Updates will be provided as new information arises.
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First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Job Title
*
Your answer
Employer
*
Your answer
# of years working in substance misuse prevention
*
0-2 years
3-5 years
5-7 years
8-10 years
11 years+
Are you willing to attend some training sessions in person?
*
Yes
No
Only if my employer allows it
Only if I do so when I'm using time off work
I'm not sure - it will depend on circumstances at the time
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