Steps to Safety™ : Train the Trainer
February 7, 2023

Preconference- NC Fire & Life Safety Educator Conference

Please fill in your information below to register for this event. Confirmations will be sent out one week prior to the event.

Thank you!

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* 1. First name:

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* 2. Last name:

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* 3. Title

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* 4. Agency or fire department name:

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* 5. Mailing address:

Address 1

Address 2

City

State

Zip

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* 6. Email address:

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* 7. Phone number:

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* 8. Please indicate if you have any dietary needs:

not applicable

Other (please specify)

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* 9. Are you currently using the Remembering When™ program in your community?

Yes

I have used it in the past, but am not now

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* 10. Have you attended a formal Remembering When™ training in the past that was conducted by NFPA?

Yes

No, but I was trained by someone who had the formal training

Steps to Safety™ : Train the Trainer
February 7, 2023

Preconference- NC Fire & Life Safety Educator Conference

Question Title

* 1. First name:

Question Title

* 2. Last name:

Question Title

* 3. Title

Question Title

* 4. Agency or fire department name:

Question Title

* 5. Mailing address:

Question Title

* 6. Email address:

Question Title

* 7. Phone number:

Question Title

* 8. Please indicate if you have any dietary needs:

Question Title

* 9. Are you currently using the Remembering When™ program in your community?

Question Title

* 10. Have you attended a formal Remembering When™ training in the past that was conducted by NFPA?

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* 11. What issues related to older adult fire and fall prevention are you interested in addressing in your community?

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* 12. What do you hope to get out of this training?