UNC Gillings School of Global Public Health

Office of Continuing Education

Learning Congress on Collaborative Community Health Assessment and Improvement (HCE6510113)

  *Required items
*First Name
*Last Name
*Gender Female Male
*Birthdate MM/DD/YYYY
We ask that you provide your birthdate and gender with the understanding that they will be used only as identification for internal record keeping and data processing operations at the University of North Carolina at Chapel Hill.
Name of agency
Job title/position
*Address: Business if applicable, home if not
*Zip code
*Email Address
*Daytime phone Area code + number

Please note:

  • When you click "Submit" below, you will be taken to a page saying the information has been sent.
  • This is NOT a confirmation of your registration.
  • You will receive a separate email confirmation of your registration.
  • If you have not received an email confirmation of your registration two weeks prior to the program start date, please call 919-966-3309 or send email to jkeith@email.unc.edu to check on the status of your registration.