EOR Staff Training Request Today's Date* Date Format: MM slash DD slash YYYY Waiver Recipient's Name* First Last EOR's Name First Last EOR Contact Phone*EOR Contact Email* Which training(s) are you requesting? check all that apply.*Alternative to Restraint TrainingFirst Aid/CPRMedication TrainingAlternative to Restraint Training RequestSubmit the name of staff and email. The cost is $30 per staff and FIRST will bill your FSA. Alternative to Restraint Training: Staff Name First Last Alternative to Restraint Training: Staff Email (required) First Aid/CPR Training RequestTell us how many staff need training. FIRST staff will train at the Asheville Office and at various locations in Partners catchment area. Cost varies. You will be contacted by the trainer. How many staff?Medication TrainingTell us how many staff and other pertinent health information about the waiver recipient. The cost is $30 and FIRST will bill your FSA. FIRST Staff will contact you with next steps.How many staff?What medication and/or health information needs to be covered? This iframe contains the logic required to handle Ajax powered Gravity Forms.