OMB #0925-0740
Exp date 7/31/2022
NIH OAR & NIMH Virtual Workshop
Registration Form
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September 18, 2020 11:30 am – 2:30 pm ET
Virtual
Sponsored by the National Institute of Mental Health (NIMH)
To register for the workshop on September 18, 2020, please provide the information requested below. You will receive a confirmation e-mail from the Bizzell Group ([email protected]) following your submission of this completed online form.
There is no registration fee and no on-site registration.
• denotes required information
First Name •:
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Suite I Apt I Box City:
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Role •: (dropdown options are community, research, private sector, CBO/NGO, government, and other [with a text box])
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Agarwal, Rajni (NIH/NIMH) [E] |
File Modified | 0000-00-00 |
File Created | 2022-02-14 |