North Hollywood, CA – Thursday, March 26, 2015

North Hollywood, CA – Thursday, March 26, 2015, 9:00 – 2:30
Check in at 8:30am
Cri-Help, Inc
11027 Burbank Blvd
North Hollywood, CA 91601
Email registration to: Hepc.advocate.2015@gmail.com or FAX to 310-314-5487
For information contact Leslie O'Hara at 310-314-5480 x 118
Registration closes Friday, March 13th
HCV BASIC EDUCATOR
HCV TRAINING WORKSHOP
Thursday, March 26, 2015
9:00am-2:30 pm
Check in at 8:30am
Cri-Help, Inc
11027 Burbank Blvd
North Hollywood, CA 91601
Registration Deadline: Friday, March 13, 2015
Applicants must complete the entire application. Registration is first come, first served.
Please email completed form to Hepc.advocate.2015@gmail.com OR Fax to 1-310-314-5487
Name
Organization
Address
City
State
Phone
Fax
Zip
E-mail
Special Needs
Area of Interest (medical / community or other)
Give 3 examples of how you will use this education in your work or in your advocacy efforts.
Participants must stay for the entire workshop and complete all quizzes and a Plan of Action
in order to receive their certificate. There is no charge for this program.
For registration questions, please call Leslie at 310-314-5480x118
A Tides Center Project
P.O. Box 15144
Sacramento, CA 95813
916-822-4455