Train the Trainer Registration
Please use the form below to register for the session of your choosing. You will need to bring your own computer for all of the sessions listed above. You will need a completed Recommendation Form signed by the Chief and Medical Director - without this you will be turned away.
Agency (full name, please don't abbreviate)
Emergency Medical Responder
Emergency Medical Technician
Advanced Emergency Medical Technician
What Session Would You Like to Attend?
01/18/18 @ 1300 - Trotwood Station 72
01/22/18 @ 1800 - Miami Valley South (South Conf. Room)
01/24/18 @ 1000 - Soin Medical Center (Cafe' Conf. Room)
01/24/18 @ 1800 - Atrium Medical Center (Conf. Room B)
01/25/18 @ 0900 - Atrium Medical Center (Prof. Bldg., 5th Floor Auditorium)
01/26/18 @ 1300 - Miami Valley South (South Conf. Room)
01/30/18 @ 1000 - Soin Medical Center (Conf. Room E)
01/30/18 @ 1800 - Grandview Medical Center (Reick Classroom)
02/03/18 @ 0900 - Miami Valley Jamestown (Conference Room)
02/06/18 @ 1800 - Greene Memorial Hospital (GMH Library)
02/06/18 @ 1800 - Englewood Fire Department
02/08/18 @ 1800 - Wayne Hospital
02/13/18 @ 1300 - Sycamore Medical Center (Cafe' Conf. Room)
02/14/18 @ 1830 - Upper Valley Medical Center (Conf. Room A)
02/19/18 @ 1830 - SCC / Preble Emergency Center
Comments and/or questions
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service