Designing the Age Friendly Healthcare Workplace

Sept. 7, 2012
Baltimore, MD

Radisson Plaza Lord Baltimore Hotel
20 West Baltimore St
Baltimore MD 21201
http://www.radisson.com/baltimore-hotel-md-21201/mdbalhar

Sponsored by:
University of Maryland School of Nursing
Johns Hopkins Education and Research Center for Occupational Safety and Health

in collaboration with the:
Centers for Disease Control/National Institute for Occupational and Safety and Health (CDC/NIOSH)

More information on this training can be found at: http://www.agefriendlyworkplace.org/

SURVEY

Please complete the following online survey before registering. Your answers will remain anonymous and will assist us in planning better workshops for the future according to your needs. Thank you in advance!

Please choose one of the following surveys to complete:

• If you are a Chief Nursing Officer (CNO), please continue to this survey: http://www.surveymonkey.com/s/86RQ5LG
• If you are not a CNO, please continue to the participant survey: http://www.surveymonkey.com/s/85NBTQY

After the survey is completed - please proceed below to register.

REGISTRATION

$35.00 course fee. There are two ways to register:

1) Register and pay online.

or

2) Download a pdf of the registration form. And pay using one of the methods below:

Two methods of payment:

• If paying by check:

Please make all checks payable to Johns Hopkins University and mail the completed registration form with payment to:

Attn: Keith Choi
Johns Hopkins Bloomberg School of Public Health
615 N Wolfe St
Room W7517
Baltimore, MD 21205

• If paying by credit card:

Complete the registration form with your credit card information and email your completed registration form to kchoi@jhsph.edu

Or

Fax to our secure fax machine:

Keith Choi
Johns Hopkins Bloomberg School of Public Health
FAX: 410-614-4986
MasterCard, Visa, American Express and Discover

*Please include your email address on the registration form. A confirmation letter and receipt of payment will be emailed once your payment is processed. This is a secure fax machine.

If you have any questions about registration please contact Keith Choi at kchoi@jhsph.edu or (410) 955-4088.

Agenda: