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Thank you for participation in this event.
Event Title: Impact of ACA on Ryan White Services in California: A Meeting for RW Medical Directors and Administrators
Date: 06-Nov-13
We collect information from each participant to evaluate our activities using the participant evaluation form (PEF).
To access and complete your Participant Evaulation Form (PEF), please follow the instructions below to enter your unique PIF ID number.
Click here to use a mobile-friendly version of the evaluation.

Please fill in your PIF Unique ID Number. Use the month of your birth, day of your birth, and last four digits of your SSN. For example, (May 29, 123-345-6789, has the ID number 05296789. Why is this necessary This program is part of the AIDS Education and Training Center, a federally funded training program.  Because of the government funding source, we need to account for every person who receives training, as well as the number of people who attend multiple trainings.  Please note that this unique identifier does not allow for identification of individual respondents.  As indicated on the form, please create your anonymous PIF unique identification number by entering the month and day of your birth, and the last 4 digits of your Social Security number.

M M D D # # # #
Birth Last 4 SSN