Interior AHEC Survey


Are you a resident of Alaska? *	Yes No
Do you live in a rural area in Alaska? *	Yes No
Are you planning to attend college? *	Yes No
Are you a health care worker? *	Yes No
Is financial aid for college important?	Yes No
Do you want to take Preceptor training?	Yes No
Will professional education or certification help?	Yes No
Should AHEC send more information?	Yes No
Your email address is required. *
Please enter today's date: *