registered students: OPIOID CRISIS Course enrollment

To enroll in courses, you will need your student ID that was given to you at the time you registered. If you have NOT registered, please start your registration process, here. If you do not remember your student ID, please contact us, here.

Note: The online forms seem to work better using Google Chrome. If you have difficulty submitting, please try using Chrome.

 

Please complete the enrollment application for:

Hope and Healing in the opioid use crisis

You must be registered with the PFCA to get a student ID. To register, go to www.AZPFCA.org/registration
Location *
Each of these two courses are a 7.5-hour commitment. To begin your enrollment, please select the location and dates for your selected course.
Opt-In
We have many classes and exciting events planned for 2019! Check here if you want to be a part of this. We hate spam, too, so you will not be inundated with irrelevant emails. Plus, you can opt out at any time.
Name *
Name
Phone *
Phone
Supervisor's Name *
Supervisor's Name
Note: Your supervisor will have to approve your attendance in this class.