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.
* Required
Email address
*
Your email
Your Full Name
Your answer
Agency / Organization
Your answer
Title / Position
Your answer
Are you and/or the DCM provider that you work for providing Disaster Case Management services for Matthew Survivors?
Yes
No
Are you and/or the DCM provider that you work for providing Disaster Case Management services for Florence Survivors?
Yes
No
[ 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.
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of rcdrc.com.
Report Abuse
-
Terms of Service
Forms
