EHDI-IS Trainings

Registration Form: EHDI-IS

EHDI – Information System (EHDI-IS) Training

This is a half day workshop on how the EHDI-IS can be used to successfully manage hearing and vision screening programs.
Upcoming Schedule

Below is a list of training dates currently planned.
Please indicate which one you are registering for.
*
- Cheyenne; 10/17/2022, 9am-12pm (LCSD#1 Admin Bldg, Room 326, 2810 House Avenue, Cheyenne)
Registration Form
Name*

First

Last
Email*

Enter Email

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Job Title*
Job Title – Other

If other, please specify.
Employment Setting*
Employment Setting – Other

If other, please specify.
How many years of EHDI-IS experience do you have?*
Work Mailing Address*

Street Address

Address Line 2

City

State

ZIP Code
Why are you attending this training?*
- Personal/Professional Growth
- Recertification Credit
- Required To Attend
- Other
Why are you attending this training – Other

If other, please specify.
Are there any specific topics you would like addressed at this training?
Please tell us your responsibilities when it comes to the EHDI-IS.
Accommodations are available for persons with disabilities. Please list any services you need.
Other special accommodations? Comments, concerns, or questions?
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