Center for Excellence in Teaching and Learning for Student Success

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MHFA Group Registration

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MHFA Group Registration

Name (First & Last) *

Are you 18 years of age or older? *

Yes

No

Email *

What is you affiliation with AppState? *

Faculty

Staff

Student

None, I am a community member

Department/College

Choose Course Delivery Preference *

Full Day (9 AM to 4:30 PM)

Two Segments (Provided in two half days)

Time of Day Preference (ONLY FOR 2 DAY COURSE)

Morning: 9 AM to Noon

Afternoon: 1 PM - 4:30 PM

Day of the Week Preference *

Weekday (Currently no weekend availability)

Anticipated Number of Participants: Minimum of 5, cannot exceed 30 *

How did you hear about this training? *

Leave this field blank

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Center for Excellence in Teaching and Learning for Student Success
Anne Belk Hall 218
PO Box 32074
Boone, North Carolina 28608
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828-262-6159 (fax)
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