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Directions: This online form is intended for current members of the Health Improvement Alliance (HIA).  Be sure to complete all sections entirely.  Once approved, your event information will be added to the online HIA calendar.  For questions, email gina.smith@ynhh.org.

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Contact Information:

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Event / Program Detail:

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Focus Area*
  
Start Date*
Required 
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End Date
If no end date leave blank
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Is this a recurring event? (Y/N)
(Example: Biweekly, 1st Thursday of Month, etc.)

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Registration:

  
Email / Phone / Registration Link / Other

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File Upload (PDF Format Only)

  • Upload event flyer (PDF Format Only)
  • Include flyers you have available in additional languages