OFR Mentor Site Visit Application

Please fill out the information below and submit the form to request an OFR Peer Mentor Site Visit.

Requestor

Phone
Are you a Drug Intelligence Officer or Public Health Analyst?*

OFR Team Information

What is your role on the OFR Team?*
What is your funding source for OFR activities?*
At what jurisdiction level are your OFR case reviews?*
How would you describe your OFR experience?*
Is there a specific area you are interested in learning more on?*