Register
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Name of Organization
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Last Name *
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Type of Organization *
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Create Username *
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Address *
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Create Password *
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Email *
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County *
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Optional Information
(For statistical purposes only)
Language(s) Spoken Hold down Control key (Apple key on Mac) to select multiple languages
Education Level Attained
Your Ethnicity
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Gender *
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Age Range *
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Occupation *
If other, please describe
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Preferred Audience
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The Illinois Poison Center (IPC) is committed to protecting your privacy. Enrollment in the Illinois Poison Center's Poison
Prevention Education Training Course requires you to submit personal information.
The personal information required for course registration will be used to:
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Provide you with access to the online training course
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Notify you of future outreach opportunities
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Distribute educational materials
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Communicate information about the IPC including services and special programs
The IPC does not disclose, give, or sell any personal information about our visitors, unless required for law enforcement or statute. Please
contact Vickie Dance at vdance@ilpoisoncenter.org, or by phone at 312-906-6125 if you have questions.
> Read the complete IPC Privacy
Policy
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