SAFE-D 2024 Annual Conference Credit Application

SAFE-D 2024 Annual Conference Credit Application
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Aware that false statements may incur penalties, I certify that I participated in the SAFE-D 2024 Annual Conference sessions listed below and am entitled to the hours of Commissioner Training Credit so indicated. Maximum Hours: 12
Name*

First NameLast Name
E-mail*
County*
ESD Name (for example, Buffalo County ESD 99)*
Phone Number*

Area CodePhone Number
What was the main reason you attended the Conference?*

Learn more about ESD operationsNetworking with other ESD folksGet required credit hoursVisit with exhibitorsOther
PRECONFERENCE WORKSHOP: SELECT ONLY ONE

ESD 101 (Carlton) Hours: 3G-200 Texas Public Officials Workshop Hours: 3Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this training
Comment
FRIDAY GENERAL SESSION - 1 HOUR

Ethics for ESD Commissioners (Carlton) Hours: 1Did not attend
On a scale of 1 (poor) to 10 (excellent), rate this course.
Comment
FRIDAY SESSION 1 - 1 HOUR (Select ONLY ONE)

Nuts and Bolts of ESDs (Carlton) Hours: 1Hazard Mitigation Funding (Davies) Hours: 1Policies and Procedures Every ESD Should Have (Peeler) Hours: 1Regional Automatic Aid (Barron) Hours: 1Managing the VFD Transition (Moellenberg/Roulston-Bates) Hours: 1Chief's Perspective: ESD Employment (Trubee) Hours: 1Open Meetings Act Basic Training (Selvera) Hours: 1Seeing Through the Smoke - Part 1 (DeYear) Hours: 1Key Indicators for a Quality EMS Provider (Smith) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
FRIDAY SESSION 2 - 1 HOUR (Select ONLY ONE)

Robert's Rules of Order (Overbey) Hours: 1Fraud Prevention and Protection (Coveler/Ellis) Hours: 1ESD Board & Fire Chief Partnership (Jack/Watson) Hours: 1TIFMAS (Wittig/Johnson) Hours: 1Annexation Issues (Selvera) Hours: 1Labor Perspective: ESD Employment (Johnson) Hours: 1Public Information Act Basic Training (Ward) Hours: 1Seeing Through the Smoke - Part 2 (DeYear) Hours: 1Culture, Collaboration & Compliance (Vernon) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
FRIDAY SESSION 3 - 1 HOUR (Select ONLY ONE)

Strategic Planning: One Size Does Not Fit All (Montgomery) Hours: 1ESD Budgeting: A Portrait of Success (Brown) Hours: 1One Mission, One Team (Kerwood/Brown) Hours: 1Community Risk Reduction (Tharp) Hours: 1Using Decision Support Analytics (Perkins/Rainey) Hours: 1Managing Personnel Risks & Litigation Prevention (McCall) Hours: 1Small Department Mental Health (Landi) Hours: 1Dealing with the Media (Seifert) Hours: 1Challenges & Realities of Rural EMS Operations (Furrh) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
FRIDAY SESSION 4 - 1 HOUR (Select ONLY ONE)

Records Retention for ESDs (Hanna) Hours: 1ESD Sales Tax 101 (Granberry) Hours: 1Becoming an ESD Chief (Haden) Hours: 1The Fourth Incident of Command (Palmer) Hours: 1Overdose Risk Reduction Programming (Campbell) Hours: 1Next Generation Skillset (Brister) Hours: 1Establishing & Maintaining Your Peer Support (Stewart) Hours: 1The ESD Website (Webb) Hours: 1ESD Medical Director: EMS Updates (Northeim) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
FRIDAY SESSION 5 - 1 HOUR (Select ONLY ONE)

Gulf Coast Region Meeting Hours: 1Central Region Meeting Hours: 1Southwest Region Meeting Hours: 1Southeast Region Meeting Hours: 1Northeast Region Meeting Hours: 1North Central Region Meeting Hours: 1Northwest Region Meeting Hours: 1ESD Administration Roundtable Hours: N/ATFCA ESD Fire Chief Roundtable Hours: N/ATexas EMS Alliance Roundtable Hours: N/ADid not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
SAT. GENERAL SESSION (Select ONLY ONE)

Beyond the 88th Legislature (Carlton) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
SAT. SESSION 1 - 1 HOUR (Select ONLY ONE)

Nuts and Bolts of ESDs (Carlton) Hours: 1Practical Planning for ESDs of All Sizes (Montgomery) Hours: 1Getting Involved: Becoming Politically Astute (Trubee) Hours: 1Your Employee Relations Nightmare (McCall) Hours: 1Questions? Ask a Lawyer - Part 1 Hours: 1Transitioning to an ESD-Based EMS (Gallagher/Von Gonten) Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment
SAT. SESSION 2 - 1 HOUR (Select ONLY ONE)

Sales Tax Advanced Issues (Granberry) Hours: 1Legislative Task Force: Looking Ahead to 2025 (Carlton) Hours: 1ESD Employee Compensation (Manley) Hours: 1Questions? Ask a Lawyer - Part 2 Hours: 1Did not attend any of these sessions
On a scale of 1 (poor) to 10 (excellent), rate this course. Please only rate courses you attended.
Comment

On a scale of 1 (Not Helpful) to 5 (Very Helpful), please rate the Conference's value to you and your ESD.*

	1	2	3	4	5

1 is Not Helpful, 5 is Very Helpful

What suggestions do you have to improve the Conference?
Add the hours you earned and enter them here (NOTE: MAXIMUM IS 12 HOURS; Claiming more than 12 hours may invalidate your credit application.)*
Type Name Below (typing your name constitutes your signature)*
NOTE: Before you click SUBMIT below, you may click the PRINT FORM button (below) to print the form for your records. The output may not show your choices; it depends on the browser you're using.

You will be emailed a confirmation that will show your choices. Print that email for your records until you receive a certificate from V.G. Young Institute of County Government.

Please note: Processing may take 6-8 weeks.
This form will be available for 30 days after the Conference. After 30 days, you will no longer be eligible for credit application. Please note: Payment must be received for credit hours to be processed. Educational sponsor: V.G. Young Institute of County Government, Texas A&M AgriLife Extension Service.
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