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NEMT Workshop Interest Form

Thank you for your interest in our "Is NEMT Right for You?" workshop! Since our current event is sold out, we’re exploring hosting this workshop in other locations. Please complete this short form to let us know where you’re located and how we can keep you informed about future workshops.

Click the button below to begin.

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Question 1 of 8

Full Name

Question 2 of 8

Email Address

Question 3 of 8

Phone Number (Optional). 

Question 4 of 8

Where are you located? [City & State]

Question 5 of 8

Are you currently in the NEMT industry?

A

Yes, I own an NEMT business

B

Yes, I work for an NEMT company

C

No, but I’m looking to start an NEMT business

D

No, I’m just exploring my options

Question 6 of 8

Would you be interested in attending this workshop in person or virtually? 

A

In-Person

B

Virtual

C

Either

Question 7 of 8

What specific topics are you most interested in learning about? 

A

How the NEMT industry works

B

Licensing, compliance, and regulations

C

Startup costs and profitability

D

How to get contracts and clients

E

Vehicle and equipment requirements

F

Insurance and liability

Question 8 of 8

Would you like to receive updates on upcoming workshops and NEMT business resources? 

A

Yes

B

No

Confirm and Submit