FREE NARCAN TRAINING REGISTRATION
April 27th

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* 1. First Name

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* 2. Last Name

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* 3. What is your M#? (please include the M) If you are a community member please put N/A.

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* 4. Email Address - Montgomery College students, faculty, and staff please include your MC email. Community members please include your personal email.

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* 5. Are you a...

MC Student

MC Faculty Member

MC Staff Member

MC Administrator

Community Member

Other

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* 6. How did you hear about this event?

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* 7. How important is this event to you?

1 - not important at all

2 - somewhat important

3 - indifferent

4 - very important

5 - extremely important

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* 8. Please list any questions you have for our panel members.