Easy Spanish for Health Care Professionals

To learn more about the course click here.

To determine eligibility for an AETC scholarship, the following form must be filled out.
* required fields

name *:      

degree(s):   title:

employer:  

address 1*:

address 2:

city*: state*:    zipcode*:

(For the address above, please indicated home or office)
Home     Office

daytime phone*:

home phone:    

e-mail address*:

number of HIV/AIDS patients seen weekly*:  or

number of HIV/AIDS patients seen monthly*:

description of the services provided:



Florida license number *: