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Training Claims
Sector
*
Health (DHW Funded)
Community (DCS Funded)
Organization
*
Training Attended
*
SHM/PACE
Mental Health First Aid
Virtual TWM Employee
Virtual TWM Manager
NVCI
Training Date
*
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1
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1904
1903
1902
1901
1900
Year
Submitted By
Name
*
Email
*
Mailing Address
Notes/Comments
Participant 1
Name
Position
*
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate*
Union Member?
*
Yes
No
Hours Attended
*
2
3.5
4
5.5
8
9
Receipt
Participant 2
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 3
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 4
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 5
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 6
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 7
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 8
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 9
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Participant 10
Name
Position
CCA
LPN
OT
PT
PT Assistant
RCW
Recreation
RN
Other
Pay Rate
Union Member
Yes
No
Hours Attended
2
3.5
4
5.5
8
9
Totals
Participant(s) total
Participants totals
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