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Public Benefits Access 101 Registration
First name
Last name
Email
Job Title
*
Organization Name
*
Organization ZIP Code
*
How long have you been assisting with applications for cash, food, and Medicaid benefits? (this course is designed to help newer case workers on how to apply for benefits or as a refresher course)
*
Less than 6 months
6 months - 1 year
2 - 3 years
4 - 5 years
More than 5 years
Has your supervisor agreed to your participation in this course? This course will be conducted during normal working hours 10am - 3:30pm on Monday and Wednesday.
*
Yes
No
Waiting for approval
Would you be interested in receiving CEs (Continuing Education Credits) for this course?
Yes
No
Submit
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