Training Interest

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* 1. Which Riverside Trauma Center training(s) are you interested in?

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* 2. If you have a date and time in mind for the training, please provide it here. It's fine to be vague ("May 21st at 9am" and "sometime in June" are both acceptable answers).

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* 3. Approximately how many people are you hoping to train?

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* 4. Choose the option(s) that best describe the job role(s) of your expected attendees.

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* 5. What population(s) do they serve (choose the answer(s) that best apply)?

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* 6. Do you have any concerns about the training topic we should know about? For example, if you are interested in a suicide-related training, please let us know of any suicide deaths or attempts in recent years.

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* 7. Are you interested in providing Professional Continuing Education credit for this training?

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* 8. If you answered yes to the above, in what discipline(s)? (If you answered No, skip this question.)

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* 9. Is there anything else you would like us to know?

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