Enrollment Training Signup
Tell us about your organization:
Name
*
Organization Name
E-mail
*
Would you like us to deliver information about Ingham Health Plan for you to make available for your community?
Yes
No
Who will be taking the training?
Community volunteers
Interns
Staff members
Other
Number of staff/volunteers who are requesting training:
1-3
4-6
7-10
10+
Question
*
Submit
Should be Empty: