CAN Training - Online Registration Form
The American Red Cross will provide CAN Training on May 3, 2019 at the Robeson County Emergency Operation Center (EOC) on 38 Legend Rd, Lumberton, NC from 10:00AM – 12:00PM. This training is only available to Disaster Case Managers who are providing direct client assistance for Hurricanes Matthew and Florence. Registration is Required.
Your Full Name
Agency / Organization
Title / Position
Are you and/or the DCM provider that you work for providing Disaster Case Management services for Matthew Survivors?
Are you and/or the DCM provider that you work for providing Disaster Case Management services for Florence Survivors?
[ Group Registration ] If you would like to register multiple DCM's from your agency please enter the name, email address, and title for each individual that will attend this training below.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of rcdrc.com.
Terms of Service