AEMTA Trauma Blitz 2010
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1. Default Section
1
. Are you currently a member of the Arkansas EMT Association?
Are you currently a member of the Arkansas EMT Association?
Yes
No
2
. Have you ever been a member of the Arkansas EMT Association?
Have you ever been a member of the Arkansas EMT Association?
Yes
No
Unsure
3
. How did you learn of the AEMTA Trauma Education Blitz?
How did you learn of the AEMTA Trauma Education Blitz?
During an AEMTA event
AEMTA mailout
AEMTA website
Word of mouth
Information from local media
4
. I understand some classes have a limitation on participate numbers and are only available until the class limit is met. I would like to register for the following class(es). Some classes have prerequisite criteria. If I am registering for one of those classes, I meet those criteria.
I understand some classes have a limitation on participate numbers and are only available until the class limit is met. I would like to register for the following class(es). Some classes have prerequisite criteria. If I am registering for one of those classes, I meet those criteria.
PHTLS Instructor Class (must hold current PHTLS Certification) May 15, 2010. Location: Faulkner County OEM
Trauma Symposium-North. May 28 & 29, 2010. Location: Durand Conference Center, North Arkanas College, Harrison AR
PHTLS Instructor Update (will update current PHTLS Instructors concerning teaching Trauma For First Responder Course, as well as any changes that have been made since their original PHTLS Instructor Certification) June 5, 2010. Location: Faulkner County OEM.
5
. I understand that a limited number of 1 night lodging will be available for the first registrations to Trauma Symposium-North and Trauma Symposium-South. I understand this registration tool allows for date and time stamping of registrations and those with the first registrations to these events will be chosen on the basis of that time stamping.
I understand that a limited number of 1 night lodging will be available for the first registrations to Trauma Symposium-North and Trauma Symposium-South. I understand this registration tool allows for date and time stamping of registrations and those with the first registrations to these events will be chosen on the basis of that time stamping.
Yes
No
*
6
. For the purpose of notification of earning 1 night of free lodging for either Trauma Symposium-North or Trauma Symposium-South, AEMTA will need your contact information. If you have registered for either one of those events, please add your name, phone number, and email address to the answer box following this question. If you are not registering for one of those events, please answer "N/A".
For the purpose of notification of earning 1 night of free lodging for either Trauma Symposium-North or Trauma Symposium-South, AEMTA will need your contact information. If you have registered for either one of those events, please add your name, phone number, and email address to the answer box following this question. If you are not registering for one of those events, please answer "N/A".
*
7
. For registration purposes, please add your name and Arkansas EMT number below.
For registration purposes, please add your name and Arkansas EMT number below.
8
. I understand that class locations and dates are subject to change and I can learn of any changes at www.aemta.org
I understand that class locations and dates are subject to change and I can learn of any changes at www.aemta.org
Yes
No
9
. The Arkansas EMT Association holds education events each year. Are you aware that August 5-8 are the dates of the 2010 Arkansas EMS Conference. This conference will be held in Hot Springs at the Hot Springs Convention Center
The Arkansas EMT Association holds education events each year. Are you aware that August 5-8 are the dates of the 2010 Arkansas EMS Conference. This conference will be held in Hot Springs at the Hot Springs Convention Center
Yes
No
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