VIRTUAL - DEA Training Registration

VIRTUAL: DEA Training Under the MATE Act

Monday, October 9 - Wednesday, October 18 | Weekdays, 12:00pm - 1:00pm

Monday, October 30 - Wednesday, November 22 | Monday & Wednesday Evenings, 5:00pm - 6:00pm

Please note, you will be required to keep your camera on at all times in order for your attendance to count.

First Name*

Last Name*

Credentials*

Please specify your credentials if not listed above.

AOA # (if a DO)

DEA Number*

Which program will you attend?*

Monday, October 9 - Wednesday, October 18Monday, October 30 - Wednesday, November 22

Are you FULL-TIME faculty at Oklahoma State University Center for Health Sciences?*

YesNo

Please verify your OSU email and register for FREE below.

OSU-CHS Email (for verification)

Home Mailing Address*

City*

State*

Zip Code*

Work Phone Number*

Cell Phone Number*

Primary Email Address*

Confirmation EmailTo be used for all program communication

Type of Email Address*

PersonalWork

Secondary Email (optional)

Program communication will also be sent to this address

Type of Email Address

PersonalWork

By submitting this registration, you agree to receive emails from the Osteopathic Founders Foundation. This includes registration confirmation and program specific communication. Your information is confidential and will not be shared with any other entities.

Training Options*

VIRTUAL DEA Training

$200.00

DEA Training (OSU-CHS Full-Time Faculty ONLY)

$ Free

Total

$0.00

Credit Card

By submitting this registration, I understand that I must have a working camera and it must remain ON during each lecture in order for my attendance and participation to count.*

Yes, I agree.