Healthy African American Families Phase II 
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Upcoming Conferences
July 19, 2013
Community Partnerships Mobilizing to Prevent, Manage and Influence Stroke Outcomes (Click here for more information and registration)

September 13, 2013

Working Through Trusted Community Partnerships to Promote Mental Wellness (See below for more information and registration)









Working Through Trusted Community Partnerships to Promote Mental Wellness

 An Interactive Webinar offering a Wonderful Opportunity
to Participate from your Own Home Site


Free to All!

When:September 13, 2013


8:30am-4:00am PST (Pacific time)
10:30am-6:00pm CST (Central time)
11:30am-7:00pm EST (Eastern time)


Conference flyer (PDF format)

  If you would like to participate in this interactive webinar, please register below


Who Should Attend:
Students, Community Partnerships, Resources, Faculty Administrators,
Health Care Providers, and Seniors.


This is presented by the National Library of Medicine in partnership with Charles R. Drew University
of Medicine and Science (CDU), University of California, Los Angeles (UCLA), Los Angeles
Biomedical Research Institute (LA BioMed), and Healthy African American Families II (HAAF).



Webinar Registration

If you would like to participate in the interactive webinar please fill out this form.

Name:
Title (if any):
Address:
City:
Zip:
State:
Phone Number:
Fax Number:
Email Address:
 Preferred contact method: Phone
Fax 
Email
Organization Name:
 


Which of the following best describes your role:
(check all that apply)
Agency Administration/ Program Director
Case Manager/Worker 
Licensed Psychologist 
MFCC/ MFT 
LCSW 
Clergy
Community Advocate
Other Community Member
Public Policy Official/ Representative
Faculty-Full Time
Faculty-Part Time
Post-doctoral Researcher
University Administrator 
Student 
University Staff
RN 
Drug Counselor- certified or certification eligible 
 
MD Specialty:
  Other
 Level of Educational Attainment:
(check all that apply)
Less than high school 
Completed high school or equivalency exam 
Some college 
Completed college: Associate's or Bachelor's 
Completed graduate school: Master's 
Completed graduate school: MD or Doctorate (PhD, EdD, other)
 Gender: Female
Male
 Race:
(please check only one)
American Indian/ Alaska Native 
Asian 
Native Hawaiian or Other Pacific Islander 
Black or African-American
White
More than one race
 Ethnicity: Hispanic or Latino 
Not Hispanic or Latino 
Age (year of birth):

If you are a community partner working with an academic institution, which academic institution is your main partner:


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