Hybrid CERT Email List

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* 1. Name (First and Last)

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* 2. Email address:

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* 3. What CERT Program are you affiliated with?

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* 4. What is your involvement in CERT

Volunteer

Instructor

Program Manager

Other (please specify)

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* 5. What is your experience with online training?

Have previously taken the Online CERT program

Have not taken Online CERT

Plan to take Online CERT

Other

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* 6. For Program Managers, Have you watched the Hybrid CERT Training webinars or submitted for the Hybrid CERT Training Certificate?

I am a volunteer/not required to watch the training videos

I plan to watch the webinars in the future

No

Not Applicable

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* 7. If your state has not signed up for the Hybrid CERT Training- please forward your State CERT Coordinators contact information to: info@nationalcert.org

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* 8. Thank you for your Support. Question?: OnlineCERT@utah.edu or www.OnlineCERT.org