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Narcan Training Request
The William Magee Center has partnered with the School of Pharmacy to offer Narcan training for University of Mississippi departments and registered student organizations. Please complete this form and the WMC staff will be in touch.
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* Indicates required question
Name of Organization
*
Your answer
Contact Person's Name
*
Your answer
Contact Person's Phone Number
*
Your answer
Contact Person's Email
Your answer
Requested Date of Training
*
MM
/
DD
/
YYYY
Requested Start Time of Training
*
Time
:
AM
PM
Location of Training
*
Your answer
Please list the audio/visual equipment at this location
*
Your answer
Estimated Number of Attendees
*
Your answer
Attendee Affiliation
*
Students
Faculty/Staff
Required
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