Excellence in Resident-Centred Care Enrollment

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PSW Program

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Home Name

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ERCC Allotment

Select your LTC home*

Name*

Address

Address 2

City

Province

Postcode

Phone*

Phone Ext

Email*

Job title*

How many PSWs work in your LTC home?*

How many PSWs and other team members would you like to be trained in ERCC training?*

In which language will your team members need to receive ERCC Team Member training?*

Please confirm that team members are able to participate in the virtual training from your LTC home?*

(including access to computer, internet and zoom)

How did you hear about the PSW Education Fund?*

How did you hear about the PSW Education Fund (Other)?*

Acknowledgment*

Acknowledgement for using backfill dollars

I acknowledge that backfill funding is provided to our organization to bring in staff supports for the home while team members attend the training session.

Acknowledgment*

Acknowledgement to use training spots

I acknowledge that a number of team member training spots have been allotted to my LTC home, and that I am committed to having team members register and attend a training session by December 31, 2021. I will communicate with the PSW Education Fund team if we are unable to fulfill our training commitment.

Acknowledgment*

Acknowledgement to provide access to computer, internet, zoom/google meets

I commit to supporting team members to attend the virtual training sessions by providing the necessary equipment, or supporting their attendance in the training from home.