November 10, 2026
9:00am-3:30pm
Manistique Tribal Health Center
5698 US-2 W, Manistique, MI 49854
Name
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Last Name
Email
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Address
Street Address
Street Address Line 2
City
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Your date of birth:
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Day
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Please select your age range:
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25-34
35-44
45-54
55-64
65-74
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What is your gender identification?
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How long have you worked in healthcare?
Never
Less than 6 months
6-11 months
1-5 years
6-10 years
More than 10 years
How long have you worked as a DSP/Direct Care Worker (DCW)?
Never
Less than 6 months
6-11 months
1-5 years
6-10 years
More than 10 years
What is the highest level of education you have completed?
Less than High School
High School graduate or GED
Some College
Technical Certification Program (Example CNA)
2 Year Associates Degree
4 Year Degree
Graduate Level Education
What category would you fall under being employed as a caregiver? (check all that apply)
Private duty
Home care agency employed
Family caregiver (paid/unpaid: taking care of a family member/spouse in any capacity)
Adult Foster Care (AFC) employed
Hospice agency employed
Assisting living employed
None of the above
Name of employer? (if applicable):
If you are a caregiver or CNA, please provide where you work.
What other educational topics would you be interested in learning more about?
ex: person-centered thinking, client hygiene, nutrition.
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Medical Office
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