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CCE Moodle Registration Request - WWFPGT

Use this form to request an account to access the free series Working with Families in Problem Gambling Treatment. If you have a current Lewis & Clark account, you can go ahead and self-enroll without completing this form.

If you have questions, please contact the Center for Community Engagement office.

All fields marked with asterisk (*) are required.

required e-mail address field

Requestor Email Address*

If you have a Lewis & Clark email address, do not fill out this form and instead use the self-enroll link above.

required text field

Student First Name*

required text field

Student Last Name*

Link (required)