Please fill out this SurveyMonkey Registration Form to attend a training to incorporate hepatitis B and other adult immunizations into practice.
Kanawha Public Library Charleston, WV:
Date: Friday, May 16th, 2025
Time: Registration 12:30; Meeting 1:00pm-3:45pm
Location: Kanawha Public Library, Charleston, WV
Cost: Free
Robert H. Mollohan Research Center, Fairmont, WV
Date: Thursday, June 26, 2025
Time: Registration 12:30; Meeting: 1:00 – 3:45pm
Location: 1000 Galliher Drive, Fairmont, WV
Cost: Free
Registration is required and the deadline to register for the meetings are as follows:
Deadline to register for the May 16th meeting in Charleston is May 9, 2025.
Deadline to register for the June 26th meeting in Fairmont is June 19, 2025.

Question Title

* 1. Please enter your contact information.

Question Title

* 2. Please mark the training you will be attending.

Question Title

* 3. Does your facility currently offer any immunization services on site?

Question Title

* 4. If you would also like to register other coworkers for the meeting as well, please enter their name, title and email addresses here:

Question Title

* 5. Are there any topics or issues you would like to discuss at the meeting?