The Working Mind Enrollment - Ontario Centres for Learning, Research, and Innovation in Long-Term Care

The Working Mind Long-Term Care Enrollment

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TWM Allotment

Select your LTC home*

If you are unable to select your LTC home from the list, please contact us before continuing. Email pswfund@the-ria.ca or call 226-581-2369

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Home Name

Name*

Address

Address 2

City

Province

Postcode

Phone*

Phone Ext

Email*

Job title*

Is your LTC home interested in having Leaders / Managers or Team Members participate in The Working Mind education program / training?*

Leaders / Managers (ED, DOC, ADOC, BSO Lead, RAI-MDS Managers, Directors, etc.)

Team Members (PSW, RPN, RN, Recreation, etc.)

We are interested in training both Leaders/Managers and Team Members

Will you be using a TWM Trainer(s) that has been certified in your home to deliver training?*

Yes

How did you hear about the PSW Education Fund?*

How did you hear about the PSW Education Fund (Other)?*

Why is your home interested in participating in the TWM education program?

What additional training and education would you like to see offered to long-term care homes in the future?

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