Conversation Starters for Community Health Workers:
Talking to Older Adults About Mental Health

Registration Form

Please complete this registration form and click 'Done.' You will receive an email from the Rhode Island Geriatric Education Center with a link to the webinar and directions to receive a certificate of completion. If you have any questions please email rigec@etal.uri.edu or call 401-874-5311. Thank you!

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* 1. First Name

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* 2. Last Name

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* 3. Credentials

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* 4. Email:

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* 5. Organization

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* 6. Trainee Type:

Professional / Provider

Student or Clinical Trainee

Other (please specify)

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* 7. Your Professional Discipline:

Allied Health

Medicine

Nursing

Pharmacy

Psychology

Social Work

Community Health Worker

Other (please specify)

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* 8. Do you wish to be notified about future program offerings?

Yes