LEI Registration

^* Indicates required fields

Are you participating as part of a system?

YesNo

First Name

Last Name

Title

Email Address

Organization Name

Full organization name, without acronyms

LEI Facility ID (Lookup Tool)

Is your organization a commercial organization, a government office, an NGO or a charity?

Commercial OrganizationGovernment OfficeNGO or Charity

Has your organization previously completed a SAGECare training?

YesNo

What year was your most recent SAGECare training?

Total Number of Employees

This includes any employee who is employed directly by the agency in either part-time or full-time capacity who is not captured in the Administrator/Executive definition below.

Number of Administrator/Executive Employees

Administrator/Executive employees include executive senior leadership such as a CEO, COO, CFO, Corporate Compliance Officer, Nursing Home Administrator, Executive Director, Deputy Executive Director, Medical Director, and other Directors such as Social Services, Human Resources, Administrative Services, Resident Services (Coordinator or Director), Nursing, Activities/Programs, Admissions/Registration, In-Service Training, Facility Services, Courtesy Services, Health/Wellness/Nutrition, Marketing, Development, Community Liaison/Volunteer Coordinator… …and any other Administrators/Executives with similar substitute titles as defined by the agency.

Approximately how many people over age 50 access your services and supports each year?

LEI Registration

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