SH Infectious Disease (including COVID-19) Student Registration Form

  • COURSE DATA

  • Infectious Diseases (Including COVID-19) Training

    This training is funded by a Susan Harwood Training Grant from the U.S. Department of Labor (Grant# SH-36981-HA10). All courses conducted virtually from Atlanta, Georgia.
  • Select all instructors who took part in your training course.
  • PERSONAL DATA & GEORGIA TECH DATA

  • EMPLOYER DATA

  • STUDENT GROUPS (mark “X” on appropriate line)