Registration First Name * Username * User Password * Select the type of organiztion * Please choose from listHospitalsNursing HomesDialysis FacilitiesDirect Care Worker SettingsUrgent Care CentersHome Health Care AgenciesAmbulatory Surgery CentersIntermediate Care Facilities (ICF-IID)Assisted Housing ProfessionalsOther Organization Name * Last Name * User Email * Confirm Password * Your Role * Please choose from listInfection PreventionistAdministratorAdvanced practice nurse (e.g., nurse practitioner)Director of NursingCharge Nurse/Nurse SupervisorRNLPNCNANon-clinical Support StaffAllied Professions StudentCommunications SpecialistEpidemiologistHAI/AR Program CoordinatorHealth EducatorPublic Health NurseOther If Other, please specify: * How long have you been in this role? (In Years) * Facility Address (Street Address/PO Box ) * State * Facility Zip Code * Why are you taking this course? * Upon successful completion of the Core Infection Preventionist Training Program, where would you like your State Completion Certificate mailed? Street Address/PO Box Town State Zip Code Submit
