Please let us know which FREE training sessions you'd like to attend. Once you complete this form, you will be sent a Zoom webinar registration for virtual sessions or location information for in-person sessions. Please add info@care-alliance to your email contact list to ensure you don't miss these emails.

By completing this form, you are consenting to AC Care Alliance contacting you regarding the courses selected and sharing your name and contact information with the Caring4Cal program, a financial sponsor of these courses. For more information and to enroll in training incentives available through Caring4Cal visit Caring4Cal.org.
 
By completing this form, you also acknowledge that you either currently work in, or intend to work toward, an eligible job role (HHA, CNA, LVN, RN, or other eligible licensed provider). You also acknowledge that you currently work in, or plan to seek employment in, an eligible Home and Community Based Services job setting. OR If you are or are planning to become a Community Health Worker (CHW), you acknowledge that you work or plan to work in a home-based (not community-based) setting.

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* 1. Which Course(s) Are You Planning to Attend?

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* 2. Name

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* 4. Phone Number

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* 5. Address

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* 6. Date of Birth

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