Hospital Education Registration Form
This on line registration form is not working at this time.  Please call 257-9226 to register for classes until further notice.

 Please complete the following information and select the class(es) you wish to attend.
 
 If you provide a valid email address, that address will receive within 3 business days
 an email confirmation of registration for the class with the date, time and location.  If you
 do not receive an email confirmation for the class you cannot expect a seat will be available for you in that class.                  Back to Hospital Education Schedule

  Name: (first, middle, last)       
  Employee ID:       Birth Month:     Birth Day: 
  Department:                             
  Department Number:        
  Work Phone:                                                
  Email (if you have one):        
  Manager's name:                  
  Manager's Phone:                 
  Manager's Email:                  

 Hospital Orientation
    Warning: Use of scroll wheel on mouse may change your selections.

Leadership Series
 

Preceptor Training
 

Leadership Journal Club
 

Verbal Judo
 

Healthcare Supervision
 

Talk is Cheap
 

Extreme Customer Service
 

Raving Fans
 

Stressed is Dessert Spelled Backwards
 

When finished please review your selections and click the SUBMIT Registration button.  
Once submitted, you should see an "Information Submitted" screen.  If you do not
see this screen, the form was not received by the Learning Center. 
Please contact us by phone at  257-9226 or email at The Learning Center. 
Thanks for using on-line registration.  

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Comments to Jon Nichols, Last Modified: January 05, 2007
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