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The Women Behind The Masks
ARTiCISM Class Information
ARTiCISM Inquiry Form
Organizational Information
Company name
First name
*
Last name
*
Email
*
Phone
*
Address
*
Who is attending?
Type of Organization
*
EMS
Fire
Law Enforcement
Dispatch
Hospital
Other
Number of Participants
Level of Providers
*
BLS
ALS
Other Healthcare Providers
Leadership
Other
Goals
What are you hoping your team gains from this experience?
*
Stress Awareness & Recognition
Burnout Prevention
Team Cohesion
Resilience Skills
Other
Have your providers recently experienced a critical incident?
*
Yes
No
Prefer Not To Answer
Are you currently using any wellness or peer support programs?
Program Preferences
Preferred format:
*
4 hour ARTiCISM (4 CEUs)
Lecture Only (60 - 90) mins
Custom
Estimated Timeline
*
ASAP
1-3 months
3- 6 months
Just Exploring
Budget
*
Is there anything else you'd like us to know about your team?
*
Let's Have A Conversation
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