Critical Skill and Group Living Operational Class (For Licensees, Pre-Licensees and Key Personnel)
|
|
- Job Golden
- 5 years ago
- Views:
Transcription
1 Critical Skill and Group Living Operational Class (For Licensees, Pre-Licensees and Key Personnel) To assist in compliance with: Administrative Rule R Administrator; Qualifications and Training in AFC Subjects Also Highly Applicable for Direct Care Workers NOTICE DATES, TIMES AND LOCATIONS: Evening and Day Time Classes - $ This price adjusts downward by $ per person when 4 or more attend from one organization. Check on-line for dates and times Livonia, MI Registration Line Register and Pay On-Line at: This Class Can be Attended On-Line Utilizing Webinar Format with Exception of Health & Safety items: First Aid and CPR Teach back participation required for Medication Administration. Auxiliary Items Covered During this Class: Foster Care As Defined by the State of Michigan Who Can Attend? This session is open to prospective and existing adult foster care group home licensees and administrators and any direct care staff who need or wish to attend or any persons involved in the support of community care providers EARLY REGISTRATION A MUST! SOME ON-SITE TRNG. AVAILABLE Direct Care Training & Early Registration a Must, Space is Limited! To attend phone: or Fax or Mail Registration Form With Payment: Fax: or $ Per Attendee (Per subject rate applies for those not attending entire event) Send payments to: DCTC: Middlebelt Rd. Ste. 120-W, Livonia, MI 48152
2 The Class Outline With Individual Subject Costs for Those Not Attending the Entire Class Critical Skill Class New Curriculum and Adjusted Prices Effective October 2008 Dates and Items Scheduled Subject to Change. Also conducted live on-line with exception of health & safety items. Date Day Subject Day I Monday Introduction and Greetings Day I Monday Adult Foster Care Definition Day I Monday Population Specific Behavioral Characteristics Mentally Ill Developmentally Disabled Traumatic Brain Injury Day II Tuesday Special Section: How a Damaged Brain Can Affect Behavior Day II Tuesday Adult CPR/Infant/Child CPR Day II Tuesday Universal First Aid Day III Wednesday Critical Elements of Program Design-Licensing Requirements Review Day III Wednesday Effective Fire Safety and Prevention Day IV Thursday Person Centered Planning Day IV Thursday Knowing Resident Rights and How to Teach Them to Staff Day V Friday Documentation Integrity and Reporting Requirements A Complete Review of all Adult Foster Care Documentation and a Rule Review of all Required Reporting Affecting Direct Care Workers and Care Administrators in Michigan Day VI Monday Effective Financial and General Management (of a group living program) Day VII Monday Prevention and Containment of Communicable Disease: Blood Borne Pathogens Day VII Tuesday Preparing for Disasters Affecting Group Living Programs How to Compose a Plan in Advance Day VII Tuesday Introduction to Medication Administration Day VIII Wednesday Basic Medication Administration Day VIII Wednesday Review Exam Class Location: Middlebelt Road, Suite 120-W in Livonia, MI 2
3 Notes for Prospective Attendees: Seats in this class and all other dates fill-up fast since we make a concerted effort to stick to a maximum of 15 persons per class, 10 for Health & Safety sections. Early registration is a must! Missed sections can be made up for up to one year in future classes Daily schedule and prices subject to change at any time. If only attending for less than the entire session you cannot register on-line, please phone our offices at
4 GENERAL WORKSHOP REGISTRATION FORM A B C D Facility Name Major Contact Person (Administrator) License Number (if not licensed write pending) Facility Type (Child Care or AFC) Attendee Name Session No# Session Title 1 Critical Skill Class 2 Critical Skill Class 3 Critical Skill Class Date (s) You Wish to Attend 8. Mailing Address: (Include City, State and Zip Code) 9.. Day Time Telephone: ( ) Evening Telephone: ( ) 10. Fax Number: ( ) address: This form must either be mailed or faxed at least 2 weeks before any event. Call in advance to check available space. Costs noted below: Monthly CEU workshops - $69.95 Some special sessions are more CPR - $29.95 per person (Renewals are only $15.00 per person) First Aid - $29.95 per person Critical Knowledge Workshop - $ per person for the 5 day session Succeeding in Care Business Workshop - $ per person for 1 day session 2 nd Time Attending is $75.00 Continuing Education, 2-Day Conventions - $ (August 2007) Special Medication Principles Class - $ (Same price for Resident Rights and Disease Prevention: Blood Borne Pathogens) Child Care Provider Continuing Education - $ for the 10-Hour Session Attendees are expected to arrive 15 minutes before the actual session start time. Session start times will not be delayed for late comers. Payment should be included with the return of this form. Mail to: Direct Care Training & Ford Rd. #140-Dearborn Heights, MI If you wish to fax this form, fax to: and send payment within 2 business days. Register by phone by calling: Credit cards accepted. Refunds: If a registrant cannot attend due to an unforeseen emergency the amount paid can be credited toward any future workshop or seminar conducted by our company within one year of the cancellation. Cash refunds will not be made. Use multiple sheets if necessary. Prices and dates subject to change with or without notice. Signature of Primary Registrant or Facility Rep. Date Page of 4
5 Check by Phone Authorization Form Account Holder Information Name on Check in Brackets [ ] Check Number: Bank Name: [ ] Bank City: 1. Pay to the order of: Direct Care Training & 2. The Amount of $ 3. Entity Name: 4. Contact Person: 5. Bank Name: 6. Routing Number: 7. Account Number: By affixing the account holder signature below you authorize our company to create a check for bank deposit resulting in a debit to the identified account. You indicate you are authorized to make this debit for services or products sold by Direct Care Training &, Michigan Community Living, Inc. or any of its affiliates for the exact amount specified above. Authorized Signer: Date: Printed Name: Mail to: Ford Rd. #140 Dearborn Heights, MI Fax to: Place a Copy of your Check Here Made Payable to DCTC and Fax 5
6 Date: TO PURCHASE OUR SERVICES USING A CREDIT CARD 1. Name on Credit Card: 2. Business Name: 3. Billing Address of Credit Card: (Make sure zip code is included) 3. Item You Are Paying for: 4. Your Telephone Number: ( ) 5. Card Type: Credit Card Number: / / / / / / / / / / / / / / / 6. Expiration Date: / 7. Security Code: (This is the 3 digit code usually near the signature area on the back of the credit card) 8. Amount You are Authorizing to be Charged to this card: ($ ) 9. Signature of Cardholder: 10. Printed Name: FAX TO:
SC Uniform Managed Care Provider Credentialing Application
SC Uniform Managed Care Provider Credentialing Application I. PERSONAL INFORMATION Solo Practice Group Practice Name: Last First M.I. Suffix Degree Maiden and/or other name List W-9 name if different Place
More informationFlorida Morticians Association, Inc.
Office of the Convention Coordinator Greetings: I am pleased to announce that the Florida Mortician's Association, Inc. (FMA) will be hosting its 92 nd Annual Convention at The Westin Fort Lauderdale,
More informationCo-Provided by: 2012 Nursing Symposium
Co-Provided by: 2012 Nursing Symposium Hilton New Bern/Riverfront Hotel New Bern, NC May 14, 2012 General Information Course Description: Continuing Education Credits: This program will cover current issues
More informationACTION CERTIFIED PERSONAL TRAINER WRITTEN EXAMINATION INFORMATION
7 ACTION CERTIFIED PERSONAL TRAINER WRITTEN EXAMINATION INFORMATION ELIGIBILITY You will receive an eligibility email from ACT, Inc. when you are eligible to sit for the exam. Once you have been approved,
More informationAdvanced CMA Training Program (2017) Diabetes and Administration of Diabetes Medication
Advanced CMA Training Program (2017) Diabetes and Administration of Diabetes Medication Class Dates: Program Registration Information (Registration NOT available on-line) August 29 and 30, 2017 (both days
More informationEXHIBITOR AND SPONSORSHIP OPPORTUNITIES
AUGUST 5 7, 2018 Washington, D.C. 1 Washington Marriott Wardman Park #AAEADC2018 www.aaea.org/meetings/2018-aaea-annual-meeting AAEA-0218-427 AUGUST 5 7, 2018 Washington, D.C. 2 ABOUT AAEA The Agricultural
More informationFor tuition prices please contact our school.
For tuition prices please contact our school. FAST TRACK HEALTH CARE EDUCATION APPLICATION INSTRUCTIONS AND CHECKLIST Please fill out the application completely. Then you can print and mail or bring it
More informationMidwestern Pavement Preservation Partnership Annual Meeting
Midwestern Pavement Preservation Partnership Annual Meeting WHAT: The Midwestern Pavement Preservation Partnership is a regional forum of pavement professionals working together to promote the WHERE: benefits
More informationTo Apply for BlueCross BlueShield of South Carolina and BlueChoice HealthPlan
To Apply for BlueCross BlueShield of South Carolina and BlueChoice HealthPlan 1. Complete the SC Uniform Managed Care Provider Credentialing Application. 2. Enclose copies of the following items: A. State
More informationEach year, the NJSACOP convenes the organization s largest and most important event, The Annual Training Conference and Police/Security Expo.
Each year, the NJSACOP convenes the organization s largest and most important event, The Annual Training Conference and Police/Security Expo. The Conference combines prominent speakers and training professionals,
More informationOLYMPUS ENDOSCOPE WORKSHOP
2014 OLYMPUS ENDOSCOPE WORKSHOP For Nurses & Technicians Registration Form This intensive programme covers care and maintenance, cleaning and disinfection of gastroscopes, colonoscopes, bronchoscopes and
More informationMay 8-10, Northeast Pavement Preservation Partnership. Connecticut Delaware
2018 Northeast Pavement Preservation Partnership Connecticut Delaware District of Columbia Maine Massachusetts Maryland New Hampshire New Jersey New York Pennsylvania Rhode Island Vermont Nova Scotia May
More informationCredentialing Application
Credentialing Application 1. NAME Last First MI Degree Gender 2. BIRTH, SOCIAL SECURITY & E-MAIL ADDRESS Date of Birth Social Security # E-Mail Address 3. PRACTICE, OFFICE & SPECIALTY INFORMATION 3.1 Please
More information2018 AORE WEA Joint National Conference Snowbird, UT October 24-26, 2018
2018 AORE WEA Joint National Conference Snowbird, UT October 24-26, 2018 Attendees MUST register online at www.aore.org unless one of these applies: I wish to pay by check I am part of the Conference Host
More informationRenewal for Licensure Form FAXES ARE NOT ACCEPTABLE
APPLICATION INSTRUCTIONS Renewal for Licensure Form FAXES ARE NOT ACCEPTABLE 1. PRINT or TYPE using BLACK Ink to complete this application. ALL SECTIONS that pertain to the license being renewed must be
More informationNORTHERN CALIFORNIA EMS, INC. 930 Executive Way, Suite 150, Redding, CA Phone: (530) Fax: (530)
NORTHERN CALIFORNIA EMS, INC. 930 Executive Way, Suite 150, Redding, CA 96002-0635 Phone: (530) 229-3979 Fax: (530) 229-3984 EMT Application Check One: INITIAL CERTIFICATION RENEWAL CERTIFICATION Please
More informationEye Medical Provider Practice Application
and subsidiaries Eye Medical Provider Practice Application How to Join the Avesis Network. Complete and sign the application Complete and sign the W-9 Complete and sign the Credential Verification Release
More informationSyracuse Behavioral Healthcare Training Institute Training Calendar
Syracuse Behavioral Healthcare Training Institute 2017 Training Calendar February 2017 The Syracuse Behavioral Healthcare Training Institute The Syracuse Behavioral Healthcare Training Institute offers
More informationWestchester Medical Center
LearnACLS Training Center Schedule The Home Of Stress Free Learning 2018 Westchester Medical Center 100 Woods Road Valhalla, NY 10595 Taylor Care Pavilion-Room 219 WESTCHESTER MEDICAL CENTER Basic Full
More informationStudent Nurses Association Bylaws
Student Nurses Association Bylaws ARTICLE I Section 1 The name of this organization shall be the Goodwin College Student Nurses Association. ARTICLE II Purpose and Function Section 1. Purpose A. To assume
More informationGOLDEN NUGGET OCTOBER 22-23, MANAGEMENT & TECHNICAL CONFERENCE AT T E N D E E I N F O R M AT I O N
AT T E N D E E I N F O R M AT I O N 2014 MANAGEMENT & TECHNICAL CONFERENCE OCTOBER 22-23, 2014 GOLDEN NUGGET HURON AVE. & BRIGANTINE BLVD. ATLANTIC CITY, NJ 08401 Attendee Registration Information About
More informationOLYMPUS ENDOSCOPE WORKSHOP
2014 OLYMPUS ENDOSCOPE WORKSHOP For Nurses & Technicians Registration Form This intensive programme covers care and maintenance, cleaning and disinfection of gastroscopes, colonoscopes, bronchoscopes and
More informationGrace Health Career Center, LLC. Certified Nurse Aide Application & Registration Information
Certified Nurse Aide Application & Registration Information Congratulations on taking the first step towards a new career!! We are excited you have decided to train with GHCC. This packet provides all
More informationMCMCFC. Believe & Succeed! In order to succeed, we must first believe that we can. - Nikos Kazantzakis
2 0 1 8 MCMCFC Spring Management Conference In order to succeed, we must first believe that we can. - Nikos Kazantzakis EXHIBITOR PACKET You are invited to exhibit! Welcome! The Michigan County Medical
More informationCertified Nurse Assistant (CNA) Spring 2018 Application Packet
CNA-SP Professional & Community Education 4203 S. Providence Rd Columbia, MO 65203 Ph: 573-214-3803 Fax: 573-214-3811 Certified Nurse Assistant (CNA) Spring 2018 Application Packet Thank you for your interest
More informationBANGOR REGION YMCA CHILDCARE REGISTRATION FORM
On-Site Registration Required BANGOR REGION YMCA CHILDCARE REGISTRATION FORM Childcare Information & Program Attending - Please Print ( )Early Childhood Education ( )Y-Works ( )Before School ( )After School
More informationProfessional Credential Services, Inc.
Professional Credential Services, Inc. P.O. Box 198689 - Nashville, TN 37219-8689 www.pcshq.com Licensure Application for Occupational Therapists For the Massachusetts Board of Allied Health Professionals
More information2018 Southeast Pavement Preservation Partnership Annual Meeting. May 14-16, Beau Rivage Resort. 875 Beach Boulevard. Biloxi, Mississippi
2018 Southeast Pavement Preservation Partnership Alabama Arkansas Florida Georgia Kentucky Louisiana Mississippi North Carolina Oklahoma Puerto Rico South Carolina Tennessee Texas Virginia West Virginia
More informationMobile Health Service
Mobile Health Service Education Phone: 732-937-8686 Fax: 732.418-8199 E-mail: mhs@rwjuh.edu Website: www.rwjuh-mhs.org 2014 General Public Education Programs Check our website for the most current list
More information2017 Course Schedule
LearnACLS Training Center Schedule The Home Of Stress Free Learning 2017 Course Schedule JANUARY-JUNE INTERFAITH MEDICAL CENTER 1545 Atlantic Ave Brooklyn, NY 11213 Room 423 INTERFAITH MEDICAL CENTER Advanced
More informationOhio Department of Insurance
Ohio Department of Insurance STANDARDIZED CREDENTIALING FORM Please complete each section thoroughly. Attach additional sheets where necessary. Type or print clearly in black ink. Sign and date the application.
More informationProfessional Credential Services, Inc.
Professional Credential Services, Inc. P.O. Box 198689 - Nashville, TN 37219-8689 www.pcshq.com Licensure Application for Athletic Trainers For the Massachusetts Board of Allied Health Professionals If
More informationS.F.I.M APPLICATION
June 29, 2018 Dear Artists, 2018 SANTA FE INDIAN MARKET CO-OP GROUP APPLICATION Greetings! As we move into the summer and closer towards The 97 th annual Santa Fe Indian Market for 2018 we look forward
More informationSAMPLE EMS AGENCY MEDICAL DIRECTOR S AGREEMENT
SAMPLE EMS AGENCY MEDICAL DIRECTOR S AGREEMENT EMS Agency Medical Director s Agreement 1 January 28, 2013 EMS Agency Medical Director s Agreement I, the undersigned physician, represent that I satisfy
More informationSponsor Application. Live Briefing Sponsor Preferred Deadline: January 19, 2018 Event Sponsor Deadline: June 1, 2018
July 16-17, 2018 Sponsor Application Washington, D.C. Live Briefing Sponsor Preferred Deadline: January 19, 2018 Event Sponsor Deadline: June 1, 2018 The 2018 NASPA on the Hill Days and the National Student
More information2018 Michigan Nursing Summit Prospectus
2018 Michigan Nursing Summit Prospectus The Michigan Nursing is a service of the ABOUT OUR MISSION The mission of the Michigan Nursing (MCN) is to enhance the delivery of compassionate, quality health
More informationNeonatal Certification Review
Presented by Pro Ed Neonatal Certification Review For the RNC-NIC & Neonatal CCRN Exams Las Vegas, Nevada SouthPoint Hotel & Casino October 3 & 4, 2017 www.forproed.com 951.285.5699 Neonatal Certification
More informationSouthfield High School Marching Band & Auxiliary Will Be Parading In Washington, DC
Southfield High School Marching Band & Auxiliary Will Be Parading In Washington, DC WHEN??: Leave Date: Thursday night May 26, 2016 Return Date: Monday night May 30, 2016 WHY??: Former Southfield Mayor,
More informationAnnual Meeting. Rocky Mountain West Pavement Preservation Partnership
Rocky Mountain West Pavement Preservation Partnership Annual Meeting What: The Rocky Mountain West Pavement Preservation Partnership is a regional forum of pavement professionals (state, local, & federal
More informationOssining Extension Center
Fall 2017 NON-CREDIT HEALTHCARE APPLICATION Ossining Extension Center Infection Control for Healthcare Programs Phlebotomy Training Program Phlebotomy Practicum Arcadian Shopping Center, Route 9 ECG (Electrocardiogram)
More informationMay 14-17, 2018 Sheraton Four Seasons Koury Convention Center Greensboro, NC
SYSTEM ATTENDEE INFORMATION (Please Print) Formal Name (for CEU Credit) Badge Name (if different from Formal Name) Title System/Company/Organization (System Personnel and Leadership Only) Mailing Address
More informationYou Won t Want to Miss the MML Fall Conference, October 10-12, 2018 The Westin Annapolis, MD
You Won t Want to Miss the MML Fall Conference, October 10-12, 2018 The Westin Annapolis, MD Every four years, MML continues the tradition of holding our annual fall conference in Annapolis to coincide
More informationDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE NURSING HOME ADMINISTRATORS GENERAL RULES
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS DIRECTOR S OFFICE NURSING HOME ADMINISTRATORS GENERAL RULES (By authority conferred on the director of the department of licensing and regulatory affairs
More informationSingle Program Application
Single Program Application This application is for live continuing education events only. Submission of a completed application does not guarantee approval. Application fees are nonrefundable. NBCC will
More informationWEST VIRGINIA BOARD OF OCCUPATIONAL THERAPY 1063 Maple Dr., Suite 4B Morgantown, WV
WEST VIRGINIA BOARD OF OCCUPATIONAL THERAPY 1063 Maple Dr., Suite 4B Morgantown, WV 26505 304-285-3150 www.wvbot.org APPLICATION FOR TWO-YEAR RENEWAL OF LICENSE: OTR/L To renew your license for the coming
More informationOssining Extension Center
NON-CREDIT HEALTHCARE APPLICATION Ossining Extension Center Infection Control for Phlebotomy Students Phlebotomy Training Program Phlebotomy Practicum Arcadian Shopping Center, Route 9 Ossining, NY 10562
More informationNortheast Pavement Preservation Partnership Annual Meeting
Northeast Pavement Preservation Partnership Annual Meeting What: The Northeast Pavement Preservation Partnership is a regional forum of pavement professionals working together to promote the benefits of
More informationCourses Being Offered:
COLORADO STATE WINTER FIRE SCHOOL & NATIONAL FIRE ACADEMY WEEKEND January 30-31, 2016 COTC: Leadership January 30- February 2, 2016 FOII: February 1-5, 2016 All Courses Run 8am - 5pm WHERE: DoubleTree
More informationRETAILER APPLICATION
RETAILER APPLICATION Florida Lottery 250 Marriott Drive Tallahassee, FL 32399-6573 (850) 487-7714 or flalottery.com FOR LOTTERY USE ONLY ID# CHAIN# PROSPECT# DO Non-refundable Application Fee: Payable
More informationRICHMOND CHAMBER OF COMMERCE BUSINESS REFERRAL NETWORK
RICHMOND CHAMBER OF COMMERCE BUSINESS REFERRAL NETWORK 1 I. OBJECTIVE The Business Referral Network is a proactive member group of and sponsored by the Richmond Chamber of Commerce whose objective is to
More informationPRACTICE INFORMATION AND LETTER AGREEMENT FORM. COMPLETE, SIGN AND RETURN TO: One Huntington Quadrangle Suite 1N09 Melville, NY 11747
PRACTICE INFORMATION AND LETTER AGREEMENT FORM COMPLETE, SIGN AND RETURN TO: One Huntington Quadrangle Suite 1N09 Melville, NY 11747 PERSONAL DATA Last Name First Name License Number Tax I.D. Number for
More informationBUSINESS EXPO TUESDAY SEPTEMBER 11, :00-7:00 PM RICHLAND CREEK COMMUNITY CHURCH, 3229 BURLINGTON MILLS RD., WAKE FOREST BOOTH SPACE
TUESDAY SEPTEMBER 11, 2018 3:00-7:00 PM RICHLAND CREEK COMMUNITY CHURCH, 3229 BURLINGTON MILLS RD., WAKE FOREST The Chamber s annual Business Expo provides both small and large businesses with the best
More information2018 Regional Equipment Operators Training Conference & Roadeo
2018 Regional Equipment Operators Training Conference & Roadeo SEPTEMBER 4 6, 2018 EMBASSY SUITES NORTHWEST ARKANSAS & JOHN Q. HAMMONS CONVENTION CENTER ROGERS, AR Tuesday, September 4, 2018 10:00 am 5:00
More informationS.F.I.M APPLICATION
May 1, 2017 Dear Artists, 2017 SANTA FE INDIAN MARKET CO-OP GROUP APPLICATION Greetings! As we move into the summer and closer towards The 96 th annual Santa Fe Indian Market for 2017 we look forward to
More informationIf applying for Testing Accommodations under the Americans with Disabilities Act (ADA):
Michigan Certified Nursing Assistant Application *APPCNAMI* Instructions Please go to www.prometric.com/nurseaide/mi to print the current version of this application and all other forms. DO NOT submit
More informationMidwestern Pavement Preservation Partnership Annual Meeting 2018 Midwestern Pavement Preservation
Midwestern Pavement Preservation Partnership Annual Meeting 2018 Midwestern Pavement Preservation The Midwestern Pavement Preservation Partnership is a regional forum of pavement professionals working
More informationGENERAL INFORMATION. English Spanish Arabic Chinese French German Hmong Hindi Laotian Philippine Vietnamese Other
**INCOMPLETE APPLICATIONS WILL DELAY THE CREDENTIALING PROCESS** 1. Please print or type ALL responses. 2. If you need additional space to complete a section, please attach additional sheets. 3. If you
More informationSILVER CROSS EMS SYSTEM SILVER CROSS HOSPITAL 1900 Silver Cross Blvd New Lenox IL, 60451
SILVER CROSS EMS SYSTEM SILVER CROSS HOSPITAL 1900 Silver Cross Blvd New Lenox IL, 60451 FALL 2018 EMT-BASIC EDUCATION PROGRAM APPLICATION AND REGISTRATION PROCESS Qualifications 18 years of age High school
More informationMAINE STATE BOARD OF NURSING
MAINE STATE BOARD OF NURSING 158 STATE HOUSE STATION 161 CAPITOL STREET AUGUSTA, MAINE 04333-0158 (207) 287-1138 APPLICATION FOR LICENSE AS A CERTIFIED NURSE-MIDWIFE Application Received Fee: CC Cash Check
More informationParachute Consulting Winter 2018 EMT-B Course Information
Parachute Consulting Winter 2018 EMT-B Course Information Course Dates: January 23 to March 31 (Classroom portion) Class Times: Tuesday and Wednesday: 5:30 pm - 9:30 pm & Saturday: 8:00 am -1:00 pm Class
More information2018 Management & Technical Conference. October 17-18, Golden Nugget Huron Avenue & Brigantine Blvd. Atlantic City, NJ 08401
ATTENDEE REGISTRATION PACKET 2018 Management & Technical Conference October 17-18, 2018 Golden Nugget Huron Avenue & Brigantine Blvd. Atlantic City, NJ 08401 Attendee Registration Information About New
More informationNCCDP National Council of Certified Dementia Practitioners. Indiana Health Care Association
NCCDP National Council of Certified Dementia Practitioners 1 A Main Street Suite 8 Sparta NJ 07871 Within USA Toll Free 1-877-729-5191 Answering Service International Calls 1 973.729.5191 1-973-729-6601
More informationOklahoma Association of Health Care Providers Certified Medication Aide (CMA) Training Program 2018 General Information Qualifications for admission
Oklahoma Association of Health Care Providers Certified Medication Aide (CMA) Training Program 2018 General Information The Oklahoma Association of Heath Care Providers (OAHCP) Certified Medication Aide
More informationAffordable Concierge New Patient Registration
Affordable Concierge New Patient Registration Patient Information Last name: First name: MI: DOB: [ ] Male [ ] Female Home address: City: State: Zip: Billing address: [ ] Same as home City: State: Zip:
More informationProgram Registration Information. Registration Deadline: 5 days before class date (class fills up fast - register early)
Advanced CMA Training Program (2015) Administering Nasogastric/Gastrostomy Tube Feedings and Medications and Administering Metered Dose Inhalers and Nebulizer Treatments Program Registration Information
More information2018 Florida Literacy Conference Exhibitor Information Kit
2018 Florida Literacy Conference Exhibitor Information Kit May 9-11 Orlando Marriott Lake Mary Lake Mary, FL The Florida Literacy Coalition is pleased to announce the 34 th Annual Florida Literacy Conference:
More informationNeonatal Certification Review
Neonatal Certification Review For the RNC-NIC & Neonatal CCRN Exams Las Vegas, Nevada SouthPoint Hotel & Casino May 7 & 8, 2018 www.forproed.com Presented by Pro Ed 951.285.5699 Neonatal Certification
More informationPacific Rim International Disability and Diversity Week May 18-22, 2015
Pacific Rim International Disability and Diversity Week May 18-22, 2015 Registration Form (for all events) Please note* registration to both conferences are at a significant discount (page 5) Hawai i Convention
More informationNurse Aide, Nursing Refresher (RN), and Dental Assistant Pre-Admission Application
Student, Thank you for your interest in our continuing education healthcare courses. Below you will find pre-admission information relevant to our Nurse Aide, Nursing Refresher (RN), training. This application
More informationVirginia / North Carolina Tour: January 15-18, 2007 Jackson Preparatory School
Virginia / North Carolina Tour: January 15-18, 2007 Jackson Preparatory School Monday, January 15 11:10 AM Depart from Jackson International Airport, MS Delta Airlines #5588 1:55 PM Arrive at Cincinnati
More informationCALD MCAL CALD TRAINING PROGRAM. Michigan. Center for Assisted Living HAVE YOU BEEN CALD? CERTIFIED ASSISTED LIVING DIRECTOR
Michigan MCAL Center for Assisted Living CERTIFIED ASSISTED LIVING DIRECTOR HAVE YOU BEEN? Register today to join a prestigious group of certified professionals. CERTIFIED ASSISTED LIVING DIRECTOR HAVE
More informationPennsylvania State Board of Barber Examiners
This application is for Applicants that have an existing license that has been expired for five (5) years or more. Pennsylvania State Board of Barber Examiners REINSTATEMENT APPLICATION FOR PROFESSIONAL
More informationSponsorship and Exhibition Opportunities Package
38th Annual CNS Conference 42nd CNS/CNA Student Conference The Nuclear Future: Challenges and Innovation Notre avenir nucléaire : défis et innovation Sheraton Cavalier Saskatoon Hotel Saskatoon, SK, June
More informationATTENDEE REGISTRATION POLICY
ATTENDEE REGISTRATION POLICY This attendee Registration Policy applies to the 22 nd Annual Green Chemistry & Engineering Conference (GC&E), administered by the ACS Green Chemistry Institute (ACS GCI),
More informationREGGAE ON THE RIVER 2017
Please print double sided Application Deadline: Thursday, May 15 th, Festival Location: French s Camp, 657 N HWY 101 Garberville, CA. Festival Dates: Thursday, August 3 rd - Sunday, August 6 th Set up:
More information2018 LEADERSHIP SUMMIT
REGION IV HEAD START ASSOCIATION 2018 LEADERSHIP SUMMIT June 11-14, 2018 Atlanta, Georgia IMPORTANT DEADLINES Advance Registration: March 1 June 1 Hotel Group Rate: March 1 June 1 REGISTRATION OFFERS RIVHSA
More informationINSTRUCTIONS FOR REINSTATEMENT, REACTIVATION AND RESUMPTION OF PRACTICE APPLICATION OF A NEW JERSEY LICENSE
Division of Consum er Affairs State Board of Professional Engineers and Land Surveyors rd 124 Halsey Street, 3 Floor, Newark, NJ 07102 www.njconsumeraffairs.gov (973) 504-6460 INSTRUCTIONS FOR REINSTATEMENT,
More informationMichigan Development Plan for Alcohol and Drug Counselors
Michigan Development Plan for Alcohol and Drug Counselors Authority: If the registrant currently does not meet the qualifications to be certified he or she must complete and submit a Development Plan to
More informationAGENDA-AT-A-GLANCE. Northeast Home Health Leadership Summit January 21 23, 2014 Colonnade Hotel, Boston, MA. Resilient Leadership
Northeast Home Health Leadership Summit January 21 23, 2014 Colonnade Hotel, Boston, MA AGENDA-AT-A-GLANCE The Northeast Home Health Leadership Summit, now in its twelfth year, is designed for home health
More informationSummer Day Camp Registration 2018 Pierce County School Based Day Camps YMCA OF PIERCE AND KITSAP COUNTIES
Summer Day Camp Registration 2018 Pierce County School Based Day Camps YMCA OF PIERCE AND KITSAP COUNTIES Completed registration is due the Wednesday prior to first day of camp. Return registration to
More informationFUNDAMENTALS OF CORPORATE SECRETARIAL PRACTICE
Year 2015 FUNDAMENTALS OF CORPORATE SECRETARIAL PRACTICE AIM The course is specially designed for Corporate Secretarial Personnel to familiarise them with the fundamentals of corporate secretarial practice
More information31 st Annual Corrosion Control Seminar
31 st Annual Corrosion Control Seminar Call for Participants March 27, 2018 Basic Cathodic Protection Rectifier Training or Techniques for Field Applied Pipeline Coatings March 28 & 29, 2018 TRACK I Basic
More informationAPPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY
APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY Legal Name of Organization Business License / Registration Number Mailing Address City Phone Postal Code Email The above
More informationInitial Application Letter of Instruction
STATE OF NEVADA BOARD OF OCCUPATIONAL THERAPY P.O. BOX 34779 Reno, Nevada 89533-4779 (775) 746-4101 / Fax: (775) 746-4105 / Toll Free: (800) 431-2659 Email: board@nvot.org / Website: www.nvot.org TYPES
More informationEXHIBIT BOOTH REQUEST & PERSONNEL REGISTRATION & HOTEL FORM
EXHIBIT BOOTH REQUEST & PERSONNEL REGISTRATION & HOTEL FORM WSWA 75 TH ANNUAL CONVENTION & EXPOSITION April 30 - May 3, 2018 Caesars Palace Las Vegas This form is INTERACTIVE. You can type directly onto
More informationSpace for the program is limited - please contact organizers listed below for details.
Invitation to Participate "Challenges and Opportunities in sustainable development for the Private Sector" Environment, Urban Development, Agriculture, Water & ICT World Bank Group, Inter-American Development
More informationTraining Opportunity!
Training Opportunity! Certified Nursing Assistant (CNA) & Home Health Aide (HHA) Certified Nursing Assistant & Home Health Aide Training is an excellent training opportunity for individuals interested
More informationI. PERSONAL INFORMATION. Degree and/or Title SS# . Non-physician Practitioner (Please specify )
Pennsylvania Standard Application This form should be typed or legibly printed in black or blue ink. Please answer all questions completely and fully. If more space is needed than provided on this application,
More informationIowa Mortgage Association 65th Annual Convention. Exhibitor Prospectus. October 1-3, 2018 West Des Moines Marriott, West Des Moines, Iowa
Iowa Mortgage Association 65th Annual Convention Exhibitor Prospectus October 1-3, 2018 West Des Moines Marriott, West Des Moines, Iowa Exhibitor Prospectus IMA 65 th Annual Convention October 1-3, 2018
More informationSECTION 13: COMPLIANCE MANUAL
SECTION 13: COMPLIANCE MANUAL I. INDIVIDUAL COMPLIANCE RESPONSIBILITIES As an NCAA member institution, the College of William and Mary shall comply with all applicable rules and regulations of the NCAA
More informationNURSES MARDI GRAS CONFERENCE IN THE PORT CITY OF MOBILE, AL
NURSES MARDI GRAS CONFERENCE IN THE PORT CITY OF MOBILE, AL Marriott Renaissance Mobile Riverview Plaza Hotel 64 S. Water Street, Mobile, AL 36602 Telephone: 251.438.4000 SAVE THE DATE February 5 7, 2016
More informationInstructions and Resource Page for Application for a License to Operate a Child Care Facility
Instructions and Resource Page for Application for a License to Operate a Child Care Facility Instructions: All information on this application must be truthful and correct. Complete this application in
More informationRegional Greenhouse Gas Initiative, Inc. Request for Proposals #18-01 RGGI Auction Services Contractor. June 18, 2018
Regional Greenhouse Gas Initiative, Inc. Request for Proposals #18-01 RGGI Auction Services Contractor June 18, 2018 PROPOSAL DUE DATE: July 23, 2018, 5:00 p.m. Eastern Daylight Time The Regional Greenhouse
More informationOssining Extension Center
Spring 2018 NON-CREDIT HEALTHCARE APPLICATION Ossining Extension Center Certified Nursing Assistant RN Refresher Direct Service Provider (Mental Health Technician) Arcadian Shopping Center, Route 9 Home
More informationElder Care Services, Inc. Elder Day Stay N. Monroe Street Tallahassee, FL Telephone Fax
Elder Care Services, Inc. Elder Day Stay 1660-11 N. Monroe Street Tallahassee, FL 32303 Telephone 850-222-4208 Fax 850-222-0330 Overview of Program Elder Day Stay is sponsored by Elder Care Services. The
More informationBlueprint for OASIS Accuracy
2-Day OASIS-C Workshop OASIS-C Data Collection Rules & Guidance Register Today! East Elmhurst, NY October 15 & 16 COS-C Exam October 17 Workshop/Exam Location VNSNY Office Suite 220 East Elmhurst, NY 11370
More informationNurse Aide I Program
Course Overview: The Nurse Aide I Program is a 144-hour non-credit course providing you with the skills to work as a Certified Nurse Aide I. You will learn fundamental patient care skills in the classroom,
More information1 of 13 DOCUMENTS. NEW JERSEY ADMINISTRATIVE CODE Copyright 2016 by the New Jersey Office of Administrative Law
Page 1 1 of 13 DOCUMENTS Title 10, Chapter 190 -- Chapter Notes N.J.A.C. 10:190 (2016) Page 2 2 of 13 DOCUMENTS 10:190-1.1 Scope and purpose N.J.A.C. 10:190-1.1 (2016) (a) The purpose of this subchapter
More informationRecognition of Environmental Health qualifications obtained overseas
Recognition of Environmental Health qualifications obtained overseas Application for registration as an Environmental Health Practitioner (EHP) (Non EU) PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS OR ELECTRONICALLY
More informationAPPLICATION FOR EMPLOYMENT
APPLICATION FOR EMPLOYMENT Applicants for a home care aide position must have a current DC home health aide certification or had at least 125 hours of Home Care Aide training. Applicants for a CNA position
More information