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Last Mile Health

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Username

The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 non-alphanumeric character(s) such as as *, -, or #

Password

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Email address

Email (again)

First name

Surname

City/town

Country

Personal Background

Gender

Age range

How would you describe your English language proficiency?

What is the highest level of education you have completed?

Professional Background

What is your primary occupation?

What type of organization or institution are you primarily affiliated with?

Please list your Institution/Organization name

Please state the Institution/Organization Code

Please specify your current role or title

What is your current level of leadership within your institution?

Where do you primarily conduct the daily activities required for your role?

Are you involved in the design, management, and/or implementation of community health programs?

Education and E-learning

Have you taken an online course before?

How did you hear about the Community Health Academy platform?

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