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Washington State HIV Prevention Counseling & Testing 2-day Course Registration

The cost is free for people working in HIV Testing and Counseling. 

The Workshop will be facilitated by State-certified HIV Prevention Counselor Maryellen Cooley.

Workshops are limited to 15 persons. Enrollment priority is given to those who provide HIV prevention counseling and testing services as a part of their employment.

Fees:

  • Class is offered free of charge.
  • Cancellations should be made 7 days prior to the scheduled course for which you are confirmed in order to open registration to someone else. You will be sent an enrollment status by email within three business days.

Fill out the form below and press the send button to register. After you press the Send button at the bottom of the page, you will be taken to our Thank You webpage which confirms your request.

What is your name?
       
What is your position title?
       
What agency do you represent?
       
Agency street address:
       
City:
       
State:
       
Zip Code:
       
Telephone with area code:
       
Secondary or cell phone:
       
Email address:
       
Please select the 2-day class you are registering for:
        June 21 & 22, 2011
What is the average number of HIV tests your agency does per month?
       
Does your agency receive federal funds supporting HIV testing and counseling?
       
How long have you been working in the field of HIV/AIDS?
       

 

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May 21, 2012