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RAMP CERTIFICATION
FAQ
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REGISTRATION
ATTENDEE INFORMATION
REGISTRATION RECORD
First Name*
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Last Name*
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Work Email Address*
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Company*
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Job Title*
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Category
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City*
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US State or Canadian Province*
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Industry*
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Addiction & Substance Abuse
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Continuing Care Retirement Community
Continuing Care Retirement Community
Emergency Medical Services (EMS)
Home Health Care
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Physical Therapy
Public Safety
Respiratory Therapy
Skilled Nursing and Long Term
Social Services
Special Education & Schools
Speech Language Pathology
Staffing Agency
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Is this your first-time attending Impact Nation?*
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No
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Source
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How did you hear about Impact Nation?*
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Email
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Relias Partner
Relias.com
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Relias Staff
Other
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Source Detail
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Partner Name*
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Campaign (Attribution)
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Staff Member Name*
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Default Campaign Assignment Id
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What are your goals for attending Impact Nation? (check all that apply)*
Learn the newest product features and functionality and/or solutions
Learn from other Relias customers
Advance skills and knowledge around training, compliance, and workforce development
Get RAMP Certified
Other
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Other*
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Vertical
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Post-Acute Care
Applied Behavior Analysis
Intellectual/Developmental Disability
Health and Human Services
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Payer/Insurer
Acute care
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Terms and Conditions*To view the full terms and conditions please click
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Print Record
Attendee Information
Reference Number
Work Email Address
First Name
Last Name