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(Update 5/23/06)

Complete the following fields to register for the Certificate for Public Health Preparedness & Response Competencies Program.  Once submitted, you will be able to take the courses you need to complete your certification program. 

* Required entries

 
* First Name:
* Last Name:
* Title:
Employee ID (For Riverside
County employee only)
* Organization:
Branch: (For CHA & DOPH employees only)
If other, please specify
Credentials:
If other, please specify
   
Work Address:
City:
Zip:
* Email:
Work Phone:
Work Fax:
Are you involved in any of the following volunteer groups? (check all that apply)
MRC VOAD CERT Red Cross Other None
If other, please specify:
 
When you submit your registration, you will immediately be sent, via e-mail, a login and password. The next time you open this website to continue your coursework, simple go to the Login button in the upper right hand corner of any page. Enter your login name and passwork and you will be taken directly to the FEMA website to cointinue your online coursework.
   
   
 
   
   
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