DCM Essentials Registration Form
August 26 & 27 - Wilmington, NC
Training Details:
Attendees are required to attend both days to receive participation certificates. Lunch is provided. The training is capped at 35 participants. Limit 3 individuals / agency. Please email Daniel.Altenau@ccharitiesdor.org if you have a larger group which needs training. Priority will be given to individuals planning to fill a Disaster Case Manager role.If you have any questions, please email Daniel.Altenau@ccharitiesdor.org.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you already associated with a Disaster Case Management Agency or Long Term Recovery Group?
*
Please Select
Yes
No
If you are already associated with a Disaster Recovery Agency or Long Term Recovery Group, please identify that group.
What is your role?
*
Please Select
Disaster Case Manager
DCM Supervisor
Long Term Recovery Group Representative
Other
What is your level of experience with disaster case management?
*
Please Select
2+ Years DCM Experience
1 - 2 Years DCM Experience
<1 Year DCM Experience
This will be my first experience with Disaster Case Management
What county are you from?
*
How did you hear about this training?
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