SPARK/OKCAPMAP House Calls Training Request

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Name(Required)

Email(Required)

Training Location Address(Required)

Select one or more training topics you are interested in…(Required)
What time of year were you thinking about hosting our training?(Required)
What time of day were you thinking about hosting our training? (Please be aware that the training must be for minimum of one hour.)(Required)
Where would you prefer your training conducted?(Required)
How many people do you expect to attend the training? (There must be a minimum of 5 people present at the physical location in person only/hybrid training options. There must be a minimum of 5 people present for the online only training option.)(Required)
What kind of certifications will your training attendees carry that are interested in free CME's?(Required)