Registration for SDHCC Healthcare Leadership Academy

June 5th and 6th, 2023 - Sanford Business Center

This registration is for the 2-Day Healthcare Leadership Academy program that is being offered as a preconference event for the SDHCC Emergency Management Conference and Inter-Regional Meeting. This registration is separate from the conference registration and does not count as registration for the conference.

Question Title

* 1. Member Contact Info

Name *

Organization/Facility *

Position

City

State

Email Address *

Phone Number *

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* 2. What Chapter/Region do you belong to?

Black Hills/ Region 1

Glacial Lakes/ Region 2

Sioux Empire/ Region 3

South Central Plains/ Region 4

At-Large Member

Other (please specify)

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* 3. Have you registered as a member through the SDHCC website? (If not, join here)

Yes

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* 4. Will your organization/facility be covering your travel and per-diem costs associated with attending this conference? (note that SDHCC reimburses at "state rate". Please see SDHCC travel policy.

Yes

Other (please specify)