Palliative Care Course - Fall 2024 - Registration

Information: The course will take place via ZOOM on Tuesday evenings 6-9PM from September 24 to October 22 2024 (5 sessions). In order to receive your certificate it is important to attend all the sessions.

Question Title

* 1. Please provide your contact information

Name

Address

City/Town

Province

Postal Code

Email Address

Phone Number

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* 2. Please tell us why you are taking this course. (You may select more than one)

Interested in volunteering with Hospice L&A

Am a caregiver

Personal interest

Professional interest

Course refresher

Other (please specify)

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* 3. Entering this course, how would you classify your comfort level discussing palliative care and/or grief & bereavement?

Very comfortable

Somewhat comfortable

Uncomfortable

Comments (optional):

Palliative Care Course - Fall 2024 - Registration

Question Title

* 1. Please provide your contact information

Question Title

* 2. Please tell us why you are taking this course. (You may select more than one)

Question Title

* 3. Entering this course, how would you classify your comfort level discussing palliative care and/or grief & bereavement?

Question Title

* 4. Please tell us what you hope to get out of taking this course.