Document
Registration Form
ICR 202606-0690-001 · OMB 0690-0038 · Object 169957600.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Registration Form |
| Author | Sarah Pham (Federal) |
| Last Modified By | Writer |
| File Modified | 2026-06-12 |
| File Created | 2026-08-01 |
| Conversion State | complete |
Extracted Text
Registration Form | Global CBPR Forum Workshop: Taking Off
Thank you for registering your attendance for the upcoming Global CBPR Forum Workshop: Taking Off, held in [LOCATION] on [DATE]. (* denotes a required field)
1. Name *
2. Email *
3. Institution/Organization *
4. Country/Location
5. Job Title *
6. Will you be attending the in-person workshop? *
7. Is there anyone else you would like us to extend the invitation to?
8. Please include their name, organization, title and email.
9. Is there anything else you would like us to know?
Your privacy is important to us. By submitting this form, you will be added to the Global CBPR Forum mailing list to receive updates on upcoming Global CBPR Forum events and news. In addition, this information will assist in creating networking opportunities within the Global CBPR Forum community. We intend to retain this information to provide information to participants about upcoming Global CBPR Forum workshops and relevant news. Your contact information, including first name, last name, job title, employer name, and work email may be shared with other Global CBPR Forum Workshop participants. To OPT OUT at any time, please check the box below.