LeadingAge Nebraska - Registration

Registration Form

Please provide the following information before proceeding with registration. Please contact Natalie McCormick at [email protected] if you have any questions.

First Name: *

Last Name: *

Email: *

Company/Facility : *

Job Title: *

Phone: *

Do you need Nursing CEs? If yes, then more information on applying for nursing CEs will be send by email prior to the conference. *

Yes

Do you need CEs as Administrators, CBDM or Other Disciplines? *

Yes

9 hours of continuing education from Nebraska DHHS Regulation and Licensure, board of NHA has been approved for this conference. Approval of 9 hours for this program is pending for fulfilling the continuing education requirements of the Certifying Board for Dietary Managers (CBDM). Granting prior approval does not constitute endorsement of the program content or its program sponsor. Appropriate records will be maintained for other disciplines to receive credit from their credentialing organizations. Certificates will be sent via email after the conference

Select your ticket. Once you complete the registration process, you will be redirected to PayPal's secure payment page for fee-based tickets:

	Required Ticket* You must select one ticket from this section before continuing.	Price
	Early Bird Member - ENDED Current Member of LeadingAge Nebraska	$220.00
	Early Bird Non-Member - ENDED	$270.00
	Member Current member of LeadingAge Nebraska	$235.00
	Non-Member	$290.00
	Direct Care Staff/Student/Retiree Direct Care Staff includes CNAs, Dietary Aides, Medication Aides, etc.	$140.00

Total: 0

* required