Interprofessional Simulation Event - September 29, 2016

Name First Last
Email
Cellphone #
Program
Paramedicine Kinesiology Nursing - IEN Nursing - 2 Entry Police Foundations Nursing - Collab
Specialization Program - Kinesiology
Fitness Certificate Athletic Therapy Certificate
Level of First Aid Training
Standart First Aid (2-Day course) First Responder Ski Patrol Lifeguard Emergency First Aid (1-Day course)
Have you received formal training (at York through academic credit or through a professional association) in the following
Medical history taking Crisis Intervention Training Vital sign assessment Musculoskeletal assessment Fitness evaluation Strength and Conditioning program design Rehabilitation program design and implementation None of the above
Do you have a mobile device that you can bring to the event to answer an online quiz
Yes No