ONGOING TRAINING SUBMISSION FORM

This form is used to submit proof of completed training that meets the ongoing training requirements of the Long-Term Care Equality Index.

For all trainings, your submission must include the following:

The training date
The course name
The course provider (if the training is internal, use your organization's name)
The names of individuals that completed the training

If the training is completed through a Learning Management System (LMS), please submit a report from that system instead of sign-in sheets.

If the training is completed through Zoom, Microsoft Teams, or other digital platform, please submit an attendee report that details login time and length of attendance.

If the training is completed in person, please submit a spreadsheet with the names of each attendee.

Facility Name

If there are multiple locations, use the specific location's name. Each location must submit a separate form.

LEI Facility ID (Lookup Tool)

First Name

Last Name

Email Address

Date of the Training

Training Provider

Name of Training

Name of the Training Provider

Total Number of Employees at Facility

Total Number of Trainees

Submit the training report here.

Contact Information