Get Started with SAGECare Training

Are you new to SAGECare and looking for an initial quote?*

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No

Do you need to fulfill a California required training mandate?*

Yes
No

Has your agency already been trained by SAGECare and you are updating our records?*

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No

Have you been referred to SAGECare from someone in particular, or are working directly with a SAGE staff member already?*

Yes
No

If yes, who is the person that referred you?

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What is your name?*

First Last

Work Email Address*

Work Phone Number*

What is the full name, without acronyms, of your organization?*

What is your title?

Your organization's website URL*

Organization Address*

Street Address Address Line 2 City State ZIP Code

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

Commercial
Government Office
NGO or Charity

Which of these describe your organization? Please check all that apply.*

Please specify*

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 over age 50 access your services and supports each year?*

Does your organization receive funding from the Administration for Community Living (ACL) of Administration for Aging (AoA) or the Older Americans Act?*

Yes
No
I'm not sure

Has your organization had any previous LGBT training from SAGE?*

Yes
No

Who was your trainer, and how many members of your staff were trained?

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