Department of Health and Senior Services (DHSS)

Registration Form
PRINCIPLES OF EPIDEMIOLOGY
930 Wildwood Drive, Jefferson City

To register, fill out all of the following information and submit the form. You should receive email confirmation soon after. If not, then contact Diana Winder at
diana.winder@health.mo.gov or (573) 526-5832.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 * My supervisor has been made aware of and has given permission for my enrollment in this course:
 * I would like to attend the following course:
 * I have a laptop computer to bring to class:
 * I plan to attend the half-day Introduction to EpiInfo 7 from 1 pm - 5 pm the afternoon prior to the workshop I have registered for (Contact Diana Winder at (573) 526-5832 for more information).

If you will need any accommodations in compliance with the Americans with Disabilites Act, please contact the Bureau of Communicable Disease Control and Prevention at 573-751-6268.

THANK YOU!

 
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