Registration form for NIH UNITE: In-Person

Please complete the following registration form to attend the NIH UNITE Structural Racism and Health Workshop on July 18-19, 2024.

OMB#: 0925-0740
Expiration date: 09/30/2025

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Indicate which meeting sessions you would like to attend:

Indicate which meeting sessions you would like to attend: July 18 (Day 1) July 19 (Day 2)
Request for Reasonable Accommodations

Request for Reasonable Accommodations No Yes (specify) Yes (specify)