ICRA 8 Hour Awareness Enrollment

Sign up for ICRA 8 Hour Awareness Class

Name*

First NameLast Name

Job Title*

Email Address*

example@example.com

Work Number*

Please enter a valid phone number.

Cell Number

Please enter a valid phone number.

Hospital/Organization/Contractor Name*

Hospital System your working with.*

# of Beds

Address*

Street Address

Street Address Line 2

CityState

Zip Code

ICRA 8-hour class*

In Person: Dartmouth Health 444 Mount Support Rd Lebanon NH 03756 December 6th, 2024, 8:00am- 3:30pm Use Entrance B and go to the Conference RoomIn Person: Cayuga Medical 101 Dates Drive Ithaca NY 14850 December 16th, 2024, 8:00am- 3:30pm

THE 8-HOUR ICRA AWARENESS CLASS OFFERS 6 IPU (INFECTION PREVENTION UNIT) CREDITS TO APIC HEALTHCARE PROFESSIONALS. You must be a member of APIC. Would you like the credit?

YesNo