Dementia Generalist for Community Members Train-the-Trainer

There are no refunds or cancellations for this training. The Dementia online training is available to registrants for 6 months.

If you have any questions, call (920) 424-1071 or email regstaff@uwosh.edu

Fields with asterisk are required.

Participant First Name *
Middle Initial (or NA if none) *
Participant Last Name *
Participant Address *
Participant City *
Participant State *
Participant Zip Code *
Participant County *
Daytime Phone Number (Use format 000-000-0000) *
Date of Birth (MM/DD/YYYY) *
Email Address (for registration confirmations) *
Supervisor Full Name
Supervisor Email

$25.00

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