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International Public Health Intensive Course Registration On-line

Please submit a separate registration for each participant. All information will be guarded confidentially.

*First name:
*Last name:
*Gender:
Academic Degree:
Professional Classification Most Closely Describing:
License Number
*For NPs and RNs only. License number is required to for INMED to process continuing education credit on behalf of NPs and RNs.
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If you selected "Outside US/Canada", please choose your Country below.
*Zip Code:
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*E-mail Address:
Alternate E-mail Address:
Occupation:
How Did You First Hear Of This Course?:
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*Registration Type:
*Undergraduate, Nursing, Medical, PA, NP, Dental, Therapy, Public Health, and Pharmacy students only. PhD students are not eligible for the student rate.
*Will you need a parking pass to park on the University of Missouri-Kansas City campus?:
 
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