Mass General Brigham Office of Continuing Professional Development Learning Management System Demo Request Form

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* 1. Your name

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* 2. Your email

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* 3. Your title

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* 4. What kind of education are you planning? Examples may include coursework, resources, communications, or something else.

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* 5. What start date are you considering?

Date / Time

Date

Time

AM/PM

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* 6. Audience: Are your learners internal to Mass General Brigham only, or do you have external participants as well? Choose one option:

Internal

External

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* 7. What content are you planning to host on the learning management system?

Storyline or SCORM modules

Live courses

PDFs

PowerPoints

Videos

Simulations

Quizzes

Other (please specify)

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* 8. Please list any specific features or capabilities you are looking for here

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* 9. Are you looking for accreditation in addition to learning management system capabilities? Below is the list of professions we can provide credits for. Choose all that apply, or none of the above.

Physicians

Nurses

Athletic trainers

Dentists

Dieticians

Optometrists

Pharmacists

Physician assistants

Psychologists

Social workers

Other (please specify)

None of the above

Mass General Brigham Office of Continuing Professional Development Learning Management System Demo Request Form

Question Title

* 1. Your name

Question Title

* 2. Your email

Question Title

* 3. Your title

Question Title

* 4. What kind of education are you planning? Examples may include coursework, resources, communications, or something else.

Question Title

* 5. What start date are you considering?

Question Title

* 6. Audience: Are your learners internal to Mass General Brigham only, or do you have external participants as well? Choose one option:

Question Title

* 7. What content are you planning to host on the learning management system?

Question Title

* 8. Please list any specific features or capabilities you are looking for here

Question Title

* 9. Are you looking for accreditation in addition to learning management system capabilities? Below is the list of professions we can provide credits for. Choose all that apply, or none of the above.

Question Title

* 10. What is the funding source for this project?

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* 11. Please list any questions you would like us to answer for you here.