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CCPMRC New Volunteer Registration
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Email
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Your email
Name (First, Last)
*
Your answer
What is your current address?
*
Your answer
Current contact information (phone number)
*
Your answer
What is your current occupation?
*
Pharmacist
Pharmacy Technician
Student (P1)
Student (P2)
Student (P3)
Student (P4)
Other:
Required
Did you attend the 6th Annual Training Symposium and complete the Post-Training Symposium Survey?
*
Yes
No
Have you completed the required online training modules?
*
Yes
No
Currently working on completing them
How did you hear about CCPMRC?
Your answer
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