Healthy Communities AmeriCorps Information Session Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Healthy Communities AmeriCorps Information Session Registration

Please complete this form to register for a virtual Healthy Communities AmeriCorps information session. A Zoom link will be sent once the form is completed. Please reach out to Cassie Johnson, AmeriCorps Program Specialist, at johnsoca@chc1.com with any questions!

Sign in to Google to save your progress. Learn more

* Indicates required question

What is your name? *

Your answer

What is your email address? *

Your answer

What is your phone number?

Your answer

Please select the session you plan to attend *

Monday, May 13th 11:30am-12:30pm EST

Tuesday, May 21st 5:30pm-6:30pm EST

I can't attend a currently scheduled session and would like to be notified of future sessions

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of CHC. Report Abuse