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Risk Communication/Media Training Seminar

Registration Form
For More Details, View Registration Flyer

There is NO REGISTRATION FEE for this seminar. Lunch and snacks will be provided.

Registration for all seminars is due to the DHSS office NO LATER than 5 p.m. seven days before the seminar date.

You will receive registration confirmation by e-mail.

For more information, contact the Center for Emergency Response and Terrorism at 573-526-4768.
  
*Required fields
*Last Name: *First Name:
Title:
Agency/
Organization:
*Address:
*City: *State: *Zip:
Include my name on the participants list?  Yes  No
*Phone: (ex. 000-000-0000)
Fax: (ex. 000-000-0000)
E-mail:
Dietary Restrictions or Accessibility Needs, if any:
 
Choose a Crisis and Emergency Risk Communication (CERC) course:
  Basic CERC Training, June 30 - July 1, Jefferson City, Capitol Plaza Hotel
    The Basic CERC course is designed for state and local public health employees
responsible for disseminating vital public information, emergency response personnel
in charge of communicating to the public and hospital public relations directors.
     
    FULL - Advanced CERC Training, July 8 - 9, Jefferson City, Capitol Plaza Hotel
    Registration for this training is now full.  If you would like to be placed on a waiting list, please print this form, fill it out, and fax it to Erin Hart at 573-522-8636.  You will be notified if we are able to add you to the registration list.
     
Are you a: LPHA Employee:   Yes  No
  Designated Spokesperson:   Yes  No
  Past Participant in Basic CERC Training:   Yes  No
  Public Information Officer:   Yes  No
   
   
By clicking the Submit Button below you will electronically register for this course. You must see the message, "Thank you. This is your confirmation for the Department of Health and Senior Services risk communication/media training," or your registration has not been accepted. If this happens, resubmit this form.
 

Missouri Department of Health and Senior Services
Center for Emergency Response and Terrorism
P.O. Box 570
Jefferson City, MO 65102
Fax (573) 522-8636