2019 NH Health Care Month: Partner Registration
The second annual NH Health Care Month will occur March 1st through April 15th, 2019. This form is intended to register NH health care partners interested in showcasing their facility during NH Health Care Month tours.This event is targeted at middle school and high school students. And we welcome a diverse range of health care facilities to share their career opportunities relative to health care, management, support, and administration. Please complete this form to indicate your interest in participating and we will reach out to you in order to collaborate on the details of your participation.

Questions regarding NH Health Care Month can be directed to:
Roxie Severance
Health Care Workforce Advisor
New Hampshire Health Care Association
rseverance@nhhca.org
603-733-6072

Email address *
Full Name of Respondent *
Your answer
Occupational Title of Respondent *
Your answer
Health Care Facility Represented by Respondent *
Your answer
Physical Address of Facility Named Above *
Your answer
Email Address of Respondent *
Your answer
Telephone Number and Extension *
Your answer
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