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Complete the form below to registration for the 2020 Recruiting for Retention Academy

Price is $500
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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 have a coupon code, it will be entered during checkout