Leadership Short Course

Personal Information

• * First Name:
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• * Confirm Email Address:
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• Address 2:
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• **IMPORTANT** OPIN Number: If you need to receive Ohio Approved Hours, please enter your 8-digit number. Confirm it is accurate before completing your registration to assure you receive Ohio Approved credit. (Example: 1498-4587). If you do NOT have an OPIN, you can sign up in the Registry if you need one (www.occrra.org) If you do NOT need credit, please enter N/A.

• Ethnic origin: What category best describes you?

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• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Event fee	$99.00
  Event fee type 2	No Charge