Healthcare Disaster Management Training (HDMT) Evaluation and Test Day 1 - October 1, 2024

1. General Information

Please Note: Fields with an asterisk (*) require an answer.

Answer all questions to receive credit.

Response required by 5:00 p.m. on Wednesday, October 9, 2024.

Question Title

1. Participant Information:

*First Name

*Last Name

*Organization Name

*Email Address

Question Title

2. Must provide one number to receive CEU:

*RN License #:

*MICN #:

*EMT #: