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State of Iowa

info@iowa.gov

200 E Walnut, Des Moines , IA, 50309, US

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2021 SHIIP-SMP New Volunteer Training Registration

Please select the option that works best for you.

You're registering for Class #3.

Full Name

Full Address

Please define a password to be used with our online training tools.  Password must be a minimum of 8 characters and cannot contain the letters o, O or l, L and must contain 1 upper case letter, 1 lower case letter, 1 number and 1 special character (!, #, $, %, ^, * or *)

I am not interested in training now or in the future, please remove me from your list.

Full Name

I am unable to participate at this time, but contact me in 2022.

Full Name

Full Address