SOR II GPRA Workgroup Interest Form

Thank you for your interest in participating in a workgroup to provide input on the SOR II GPRA re-intake process. A date/time has not been formalized for this meeting but if you complete this form we'll keep you posted. Please note that depending on the response we get, we may not be able to include everyone in all meetings to ensure that we have productive working sessions. OMNI will reach out to those who complete the form with more details.
1.What is your name?(Required.)
2.What is your email address?(Required.)
3.What is your CSB?(Required.)
4.Are you a Certified Peer Specialist?(Required.)
5.Please provide any relevant input that you would like to share with OMNI here. 
Current Progress,
0 of 5 answered