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2019 Veterinary Application for the Healer's Art FDW Training

2019 Veterinary Application for the Healer’s Art Faculty Development Training

1. Name and Education History *This question is required.
2. Veterinary School where you will teach The Healer's Art *This question is required.
5. Professional Position *This question is required.
Professional Position (if more than one held concurrently)
6. Work Contact Information *This question is required.
7. Home Contact Information
8. Which is your preferred email? *This question is required.
13. What institutional support do you have for this plan?
CME credit information for this workshop will be forthcoming.
CANCELLATION & REFUND POLICY: A deposit of $300 is due at time that your application is accepted. The balance is due by June 1, 2017. A full refund of deposit (less processing fee of $25) will be issued for cancellations on or BEFORE July 1. Cancellations after July 1 will forfeit deposit.