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Canadian Perinatal Conference
PERINATAL SUPPORT WORKER PROGRAM MAY BE COMING TO YOU!
We want to hear from you!
Please fill out the form below to let us know you would be interested in taking the PNSW program if we were in your area.
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Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
How interested are you in taking the PNSW program?
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Extremely interested
Somewhat interested
Not really
What city do you live in?
*
I would be interested in taking the PNSW program if it were...
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within 15 km from my home
within 30 km from my home
within 50 km from my home
anywhere
What is your current statues as a PSW?
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PSW Student
Working PSW
Not a PSW and not working towards PSW
Where did you hear about the PNSW program?
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OPSWA
Facebook
Google Search
Word of mouth - friend, family, other
Other
Any additional comments or questions
*
Submit