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Request a Training

Name of Training*
Training Partners*

(i.e. Just H+H, all partners, or specific partners?) Please list them below.
Registration Method*
- Self-register on OCH LMS Site
- H+H employees will be auto-enrolled and will access the training via PeopleSoft
- An OCH administrator will bulk-enroll
- A partner facility administrator will bulk-enroll their own employees
How will employees become registered? (Choose all that apply)
Additional Registration Fields?
Field Name Description

Name, email, DSRIP Job Title, and Partner Organization will be collected from employees who register for this training. Outside of these fields, are there any other pieces of information that you need to track? (Please describe any fields below)
Training Mode*
- Online
- In-person
Is this an online training, or an in-person training?
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Start Date
MM slash DD slash YYYY

This is the date at which users will be able to access the course. Leave blank for immediate access.
End Registration Date
MM slash DD slash YYYY

This is the date at which the course will no longer be open for registration. Users who have already registered will still be able to access the course. Course will remain open if left blank.
End Access Date
MM slash DD slash YYYY

The course will no longer be available to any user after this date. Course will remain available indefinitely if left blank.
Format of Training Materials*
- Video
- Slideshow
- PDF
- eLearning Module
- Other
Please select all that apply.
Please Specifiy
Evaluation Quiz?*
- Yes
- No
Is there a Quiz accompanying the training material?
Please upload Quiz template
Max. file size: 786 MB.
Passing Percentage

Please enter the minimum percentage for which a user should be marked as complete
Number of Attempts

How many times should users be allowed to attempt the quiz?
Attestation Statement?*
- Yes
- No
Will there be a mandatory attestation statement for users to agree to?
Attestation Text
Please enter the statement to which you are asking your users to attest
Certificate Awarded?*
- Yes
- No
Should users be awarded a certificate upon course completion?
Upload Certificate Template
Max. file size: 786 MB.
Please upload a certificate to be used for this course. Leave blank for default certificate.
Post-Training Survey?*
- Yes
- No
Should users be asked to fill out a survey after completing the training?
Survey Template
Max. file size: 786 MB.
Upload your survey template here. Leave blank for default.
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Do employees taking this training need accounts on the OCH LMS?*
- Yes
- No, an alternative method will be used to capture employee information regarding this training
Training Sessions
Date Start Time End Time Location

Contact Us

Staten Island Performing Provider System
1 Edgewater Plaza, Suite 700
Staten Island, NY 10305

(917) 830-1140
SIPPS-ContactUs@northwell.edu

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