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* 1. October 20th at Tamarack in Beckley, WV. 5 pm Dinner. 6 pm. Motown Performance.

October 21st at the Heart of God Church in Beckley, WV. Training from 830am-4 pm.

1703 S Kanawha St, Beckley, WV 25801.

Will you need a hotel room for October 20th?

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* 2. Which category below includes your age?

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* 3. Which of the following categories best describes your employment status?

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* 4. What is your race?

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* 5. Which West Virginia Counties do you work in?

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* 6. How many years have you been working in tobacco control activities?

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* 7. How did you learn about this training?

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* 8. Are you a past grantee of the WVAATPN?

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* 9. Tell me one thing that you want to learn from this training.

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* 10. What is your name and address?

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* 11. What organization do you represent?

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* 12. What is your email?

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* 13. What is your phone number?

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* 14. Will you be attending In Person or by Zoom?

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