ASHT “Education On Tour” Traveling Course

Information Request Form

If you are interested in bringing the ASHT “Education on Tour” Traveling Course to your clinic, please complete this online Information Request Form in its entirety.

Please allow a minimum of 16 weeks lead time when providing your preferred dates.

Thank you for your interest in hosting a traveling course. You will hear back from ASHT shortly!

Approximately how many employees from your site do you anticipate will attend this course?
Please list the specific ASHT “Education on Tour” Traveling Course you are interested in hosting.
Preferred Dates

When are you available to host the course? (Please provide 3 dates)

Preferred Dates (Please allow a minimum of 16 weeks lead time)