This Memorandum of Understanding is between the Central East Stroke Network and the Applicant

Your license key will be sent to you on receipt of this application

Agreement: 
By completing this form I agree to the following:
  • I will create an account on the Apex Innovations website to become a user of the Canadian Hemispheres™ – Stroke Competency Series
  • Specify online to which Organization I belong in the Central East region
  • Once I activate my account, I acknowledge I have ONE YEAR to complete the series
  • I will not use my license key to the curriculum for other uses other than for my own personal participation in the series 
  • Each user must possess their own license key and create their own account 
  • Canadian Hemispheres™ curriculum is not to be used in a classroom setting 
  • I understand that I can take each module’s test repeatedly until I obtain a passing score of 80%
  • I can print CERTIFICATES of COMPLETION for my own records once completed
Payment:  The fee for the license code granting full access to the Hemispheres™ curriculum for up to one year has been paid in full by the Central East Stroke Network. There is no cost to the participant listed in this agreement.

Administrative Details:  The Regional Education Coordinator has access to administrative functions within Hemispheres™ – Stroke Competency Series, and is able to view modules completed, test scores, time spent per module, completion of series, certificate printing, etc.

The Regional Education Coordinator (REC) will be available to you should you have any questions along the way.  If required, we can direct you to the appropriate department at Apex Innovations for assistance with your questions, concerns, or suggestions for the curriculum.  You can reach the REC, Dorothy Burridge at burridged@rvh.on.ca


 **If it is not applicable to your discipline, you are not expected to complete the NIHSS CERTIFICATION module.


APPLICANT TO COMPLETE THE FOLLOWING INFORMATION:

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* 1. Last Name

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* 2. First Name

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* 3. Work email address

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* 4. Reconfirm work email address

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* 5. 2nd Email address if desired

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* 6. Name of Organization where Applicant employed

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* 8. Area of Practice - if work in more than one area, choose primary area

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