course info

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ncehsop.org is giving preference to EHSs who are in their first 6 years of registration and have not taken the EH Law course.

Have you taken the EH Law Course in past years?*

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Are you within the first 6 years of registration?*

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REHS Number (Note if registering with no REHS number or from out-of-state, please use 5000.)*

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Can Your Phone Number be used for texting?

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NC County Health Depts & Districts (If retired, unaffliated or other employment, denote as NA and go to the next box.)

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Can Your Supervisor's Phone Number be used for texting?

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Comments. Use for special considerations such as accessibility and dietary restrictions (such as gluten free, vegetarian, vegan, etc.)

4th Annual Symposium and Pre-Symposium Workshop Registration Options

Pre-Symposium Communication Workshop, July 31, 2019 (ONLY)
Pre-Symposium Well Workshop, July 31, 2019 (ONLY)
4th Annual Symposium, August 1 & 2, 2019 (ONLY)
Pre-Symposium Communication Workshop AND 4th Annual Symposium (July 31 – August 2, 2019)
Pre-Symposium Well Workshop AND 4th Annual Symposium (July 31 – August 2, 2019)
Full-Time Environmental Health Student, Pre-Symposium Communication Workshop, July 31, 2019 (ONLY)
Full-Time Environmental Health Student, Pre-Symposium Well Workshop, July 31, 2019 (ONLY)
Full-Time Environmental Health Student, 4th Annual Symposium, August 1 & 2, 2019 (ONLY)

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Disclaimer, terms and agreement.
Registration does not guarantee the participant a space in this course, but puts the participant on an active wait list.

Once payment is received in-full, the participant will be awarded a space in the course if seats are remaining.

All information must be completed and returned to
NCEHSOP
PO Box 489
Efland, NC 27243

**MUST BE POSTMARKED AT LEAST 7 CALENDAR DAYS FROM THE FIRST DAY OF THE COURSE IN ORDER TO BE REGISTERED.**

Disclaimer, terms and agreement.
Upon submitting this form and your payment, please check your email for confirmation of receipt of registration as well as payment.

I have read and understand the disclaimer, terms and agreement above.*

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