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HBRSC Online Reservations
Submitted by
admin
on
Wed, 12/22/2010 - 11:41
First Name
Last Name
Email
Telephone
Telephone Ext.
(
)
Organization
select...
Arcata/Mad River Ambulance
College of the Redwoods
County of Humboldt
Humboldt State University
Mad River Community Hospital
North Coast EMS
Redwood Memorial Hospital
St. Joseph Hospital
Other (Please Specify)
Organization Other
Type of Training
select...
Training/Certification
Simulated Clinical Experience
Orientation/Tour
Meeting
Course (if applicable)
select...
Clinical Education
EMT-P
LVN-111
LVN-121
LVN-122
New Graduation Orientation
NURS-199
NURS-21
NURS-22
NURS-23
NURS-24
NURS-260
NURS-268
NURS-360
NURS-368
NURS-372
NURS-374
NURS-462
NURS-468
NURS-470
NURS-472
NURS-480
Number of learners
Number of faculty (min 1 for each 20 learners)
Date Requested
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2010
2011
2012
2013
2014
Number of Hours Requested (available in 2 hour blocks)
select...
2 hours
4 hours
6 hours
8 hours
Simulators/Scenarios Requested
Adult
Child
Baby
Birthing Mom
Describe the simulators/scenarios:
e.g., Cardiac Arrest
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