Thank you for your interest in ACHE’s On-Location programs. Please complete and submit the following information and the Program Specialist in the Division of Professional Development will contact you.
Name:
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Prefix
First Name
Last Name
Title:
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Organization:
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Location (City/State):
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Phone:
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Email:
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Briefly Describe Your Needs
Type of training needed:
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(e.g., topics/subject matter; most challenging issues we're facing that require training)
Length of Program:
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3 Hour Face to Face
6 Hour Face to Face
12 Hour Face to Face
Desired time frame for training:
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Are these dates flexible?
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Yes
No
Estimated number of participants:
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Who are the participants? (Job titles: e.g., CEO, COO, CFO, etc.)
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Describe specific training needs or other program requirements:
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Choose from the following list of topics:
Career Development
Community Health and Involvement
Customer Satisfaction
Diversity
Facility Design and Construction
Financial Management
General Management and Administration
Health Systems and Delivery
Human Resources and Work Force Issues
Law
Leadership
Marketing and Strategic Planning
Medical Staff Relationships
Public Policy
Quality/Patient Safety
Other
If "Other," please describe:
How did you learn about ACHE's On-Location Programming?
Please Select
ACHE Website
ACHE Brochure/Flyer
ACHE Chapter
ACHE Cluster Event
Social Media
Current Employer
Referral
Other
Referral (by whom?):
If "Other," please describe:
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