LeadingAge Nebraska 2021 Virtual Spring Mini-Conference - 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: *

City: *

US State: *

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

Yes

8 Continuing Education Contact Hours provided by Iowa Western Community College (IWCC), Iowa Board of Nursing Provider #6. Approval pending. Participants must attend entire session and complete the evaluation to receive credit. Certificates will be sent from IWCC via email after the conference. An additional 5 credits can be awarded during the on-demand period (through April 30, 2021) for a possible total of 13 nursing contact hours.

Do you need CEs as an Administrator or for other disciplines? *

Yes

8 hours of continuing education from Nebraska DHHS Regulation and Licensure, board of NHA has been approved for this conference. Appropriate records will be maintained for other disciplines to receive credit from their credentialing organizations. Participants must attend entire session and complete the evaluation to receive credit. Certificates will be sent via email after the conference. An additional 5 credits can be awarded during the on-demand period (through April 30, 2021) for a possible total of 13 CEUs.

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 Early bird member rate	1	$160
Early Bird Non-Member - ENDED	1	$210
Member Member rate	1	$185
Non-Member Non-member rate	1	$235
Direct Care Staff/Student/Retiree	1	$75

NOTE: You are purchasing a group ticket. Please complete this form on behalf of an attendee and then provide an alternate email below for receiving the group coupon.

Total: 0