Cultural Competency Training Registration Form - Nevada Health Care Association

Facility Name:(Required)

Email:(Required)

Phone:(Required)

Number of Employees for this training?(Required)

Price: $40.00

Number of Employees for this training?(Required)

Price: $70.00

Number of Employees for this training?(Required)

Price: $25.00

Number of Employees for this training?(Required)

Price: $40.00

Facility Coordinator

We will use the contact information below as the central point-of-contact for your facility’s employee registrations. The facility coordinator sends registration links to employees that take the training. The coordinator also ensures the employees complete the necessary paperwork post-training to receive a training certificate.

Name of Facility:

Email:(Required)

Phone:(Required)

TOTAL REGISTRATION FEE

STOP BEFORE YOU CLICK "SUBMIT"

Note - If you plan to pay by credit card, please make note of the “total registration fee” above before clicking "SUBMIT"