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Are you new to SAGECare and looking for an initial quote?
Has your agency already been trained by SAGECare and you are updating our records?
Work Email Address
Work Phone Number
What is the full name, without acronyms, of your organization?
Your organization's website URL
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Is your organization a commercial organization, a government office, an NGO or a charity?
NGO or Charity
Which of these describe your organization? Please check all that apply.
Adult Protective Services
Advocacy, Public Education and/or Policy
Aging and Disability Resource Center
Area Agency on Aging
Continuum of Care Agency
Home Health Services
Hospice or Palliative Care
Hospital or Doctor's Office
LGBT Service Provider or Org.
Memory Care Unit
Other Professional Services
School or University
Senior Health Insurance Assistance Program (SHIP)
Senior Medicare Patrol (SMP)
Senior Services Division (gov't)
Skilled Nursing/Nursing Home
State Unit on Aging
Supportive Housing Services
How many employees are there at your organization?
This includes any employee who is employed directly by the credentialed agency in either a part-time or full-time capacity who is not captured in the Executives/Administrators definition below.
How many Executives/Administrators are on staff at your organization?
Executives/Administrators 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 Executives/Administrators with similar substitute titles as defined by the agency.
Approximately how many people does your agency serve on an annual basis?
Does your organization receive funding from the Administration for Community Living (ACL) of Administration for Aging (AoA) or the Older Americans Act?
I'm not sure
Has your organization had any previous LGBT training from SAGE?
Who was your trainer, and how many members of your staff were trained?
Yes, send me more information about how SAGECare can help!