EHLR Training Registration-Pilots

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EHLR Training Registration-Pilots
Please complete the survey below.
Thank you!

Form Approved
OMB No. 0923-0047
Exp. Date: 02/28/2025
CDC/ATSDR estimates the average public reporting burden of this collection of information as 3 minutes per
response, including the time for reviewing instructions, searching existing data/information sources, gathering and
maintaining the data/information needed, and completing and reviewing the collection of information. An agency
may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a
currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information including suggestions for reducing this burden to CDC/ATSDR Information Collection Review
Office; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0923-0047).
Registration Form: Environmental Health and Land Reuse Training Pilot
1)

My job title is:

2)

Name (First and Last)

3)

Work Email Address

4)

Please select the training you are registering for:

Environmental Health Professional
Environmental Professional
Tribal Environmental Specialist
Planner
Municipal/Tribal Agency Official
Developer
Environmental Non-profit/Non-profit
Citizen/community member
Student in public health, environmental science,
planning, "STEM" discipline
None of the above

__________________________________

__________________________________
EHLR Immersion Training: Community Engagement (8
CEUs)
EHLR Immersion Training: Evaluating Environmental
and Health Risks (8 CEUs)
EHLR Immersion Training: Communicating
Environmental and Health Risks (Risk
Communication) (4 CEUs)
(Select the specific type of EHLR training)

Thank you for registering for our upcoming "EHLR" Immersion Training Pilot.

02/17/2023 11:50am

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