Mentee Registration for Leadership Academy EPL Series 2026

Name(Required)

First Last

What Region are you representing?(Required)

HHS Region 5 Great Lakes ATTC (Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin)

HHS Region 6 South Southwest ATTC (Arkansas, Louisiana, Oklahoma, Texas, New Mexico)

HHS Region 8 Mountain Plains ATTC (Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming)

What EPL Series cohort (date/time) are you registering for?(Required)

Cohort #1: Every Tuesday, April 28-June 2, 2026 from 9:00-10:30am Mountain/10-11:30am Central/11:00am-12:30pm Eastern

Cohort #2: Every Tuesday, April 28-June 2, 2026 from 11:00am-12:30pm Mountain/12:00-1:30pm Central/1:00-2:30pm Eastern

Cohort #3: Every Wednesday, April 29-June 3, 2026 from 1:00-2:30pm Mountain/2:00-3:30pm Central/3:00-4:30pm Eastern

Email(Required)

Enter Email Confirm Email

Password(Required)

Enter Password Confirm Password

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Are you Hispanic or Latino/a

Yes

Prefer not to answer

What is your Race

Black or African-American

White

American Indian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

Middle Eastern or North African

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

Another Race

Prefer not to answer

Specify(Required)

Administered by CASAT, a Center within the School of Public Health at the University of Nevada, Reno.