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Complete the form below to registration for the 2018 Recruiting for Retention Academy

Price is $500
After the form is completed, you will be prompted to complete your purchase via credit card
If you wish to pay by check, please contact us before registering
If you have a coupon code, it will be entered during checkout

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Name *

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Type of Facility *

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Are You Located in a Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA)? *

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What Do You Hope to Accomplish by Attending the Academy? *

After the form is completed, you will be prompted to complete your purchase via credit card
If you wish to pay by check, please contact us before registering
If you have a coupon code, it will be entered during checkout

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