Frontline Continuing Education Submission
Please complete the form below to submit a request for a resource to be added to the 100 Club of Illinois Continuing Education Hub. Each resource will require a separate submission.
Submittee Name
*
First Name
Last Name
Submittee E-mail
*
example@example.com
Submittee Affiliation
*
Firefighter/EMS/EMT
Police Officer/Law Enforcement
First Responder Family Member
Other
Are you the owner of this resource?
*
Yes
No
If you responded "no", do you know the owner of this resource?
Yes
No
If you responded "yes", please provide their contact information (name and e-mail at minimum) so we can connect if we have questions or want to learn more.
Resource Title
*
What audience is this resource geared towards? (select all that apply)
*
First Responders
Family Members of First Responders
Departments (program development/management)
Other
Please specify any specialties:
Command
Occupational Leadership
General Leadership
Peer Support
Wellness Coordinator
None of the above
Other
Please specify familial role:
Spouse
Child
Other
What type of resource is this? (select all that apply)
*
Podcast
Article
Video
Recorded Webinar
Book
Event or Training
Other
What categories of wellness would this resource fall under? (select all that apply)
*
Social
Emotional
Physical
Financial
Spiritual
Occupational
Intellectual
Environmental
Other
Website link(s):
*
Please provide your shareable review or reason for submission:
*
Because you selected "Event or Training", please provide all details below (i.e., date(s), time(s), location(s), contact information, logistic, audience, etc.
Please upload any attachments that would be helpful when reviewing your submission, including a logo or cover photo.
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