New Mexico Diabetes Advisory Council June 2 Training Registration
Lifestyle Change Tools: Community Activity Programs CNM Workforce Training Center 8:30 AM-1:00 PM Hybrid Format (In person or Zoom)
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
I am a
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Individual NMDAC member
Part of a NMDAC organizational membership
Non-member - You will be invoiced for the $20 registration fee by email.
If you are part of an organizational membership, please indicate your organization:
NMSU
American Diabetes Association
Pueblo of Santa Ana
Comagine
Santo Domingo Tribe
Roadrunner Food Bank
Pueblo of San Felipe
Presbyterian Community Health
Presbyterian Health Plan
Jemez Pueblo
UNMH Center for Diabetes and Education
Ohkay Owingeh Wellness Center
NM Primary Care Association
Abbot Diabetes Care
Mescalero Apache Tribe
Department of Health
Training Invited Speaker
I will attend the June 2 Training
*
In person - Please specify any dietary needs below
Virtually - A zoom registration link will be sent to your email to complete. You will then receive your link to join the hybrid training.
I am attending in person and have a dietary need. My dietary request for lunch is:
Please indicate your dietary need. We will let you know if the caterer cannot supply food for your needs.
Please indicate what type of CEUs you will request:
CHW
CME
RDN
CHES
Certificate of Participation
Register
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