Get Ilt Registration Form - Hrsa - Ftp Hrsa

This guide offers step-by-step instructions for filling out the ILT Registration Form, essential for registering for the Interdisciplinary Distance Learning Workshop on public health. By following these instructions, you will ensure a smooth registration process.

Follow the steps to complete your registration online.

1. Click the ‘Get Form’ button to access the registration form and open it for editing.
2. Begin by entering your name in the designated field. This is crucial for proper identification during the workshop.
3. Fill in your degrees and credentials as well as your employer's name to provide relevant background information.
4. In the profession/job title section, specify your current role, which helps in understanding your professional background.
5. Provide your mailing address, including city, state, and zip code. This information is essential for any correspondence related to your registration.
6. Input your daytime phone number and fax number if applicable, to enable easy communication.
7. Enter your email address. This will be used to send you a confirmation and any additional details regarding the workshop.
8. Optional information on gender and race/ethnicity can be filled out if you wish. However, this is not mandatory.
9. Indicate your chosen site attending from the provided options. Ensure you select the one that is most convenient for you.
10. Select which continuing education credits you would like to request, noting any additional fees required for specific professions.
11. Fill in the cost section, indicating whether you will be paying for lunch and the method of payment — check or credit card.
12. If paying by credit card, complete the necessary fields with your card details to process the payment.
13. Once all fields are filled, save changes to the document. You can then download, print, or share the form as required.

Complete your registration online today to secure your spot in the workshop.