1. Member

14% of survey complete.

This survey may be used as the annual Member Information Sheet that has been collected in previous years. All HOTRAC members are required to complete this information in order to remain in good standing. If a question does not apply to you or your entity(i.e. Medical Director Information, Education or Injury Prevention Program, etc.) please mark the question with an N/A. Once you begin the survey you will need to complete it during the same session. If you have any questions, comments, or concerns, please feel free to contact HOTRAC Staff.

* 1. Member Information

* 2. Member Type

* 3. If any demographic information about your entity has changed, please enter below. (examples: licensed beds, licensed trucks, CT capability, etc.)