CSRS Site Evaluation Request

Thank you for your interest in hosting a CSRS® regional course. Please complete the form below.
If you have any questions, please contact admin@neurorecovery.net.

Contact Information

The host organization contact should be accessible by email, and able to respond to email communications from our team within 24 hours
Mailing address for contact(Required)

Location Information

Address of location where course will be held(Required)
Please list the courses that your team has hosted in the last 3 years(Required)
Add as many as needed by clicking the + button
Course Name
Location
# of Attendees
 

Does your facility have...

Lecture space that comfortably seats 55-65 people?(Required)
Lab space adjacent to or nearby the lecture space (NOTE: Depending on space availability at your site, labs could be co-located in the lecture space)?(Required)
Lab space that accommodates 55 to 65 people?(Required)
Audio/visual capabilities (screen, LCD projector) in both the lecture and lab spaces (if separate)?(Required)
Plinths/tables/mats that can be moved to the lab space (or that may reside in the lab space) to accommodate about fifteen groups (4-6 people per group)?(Required)
On-site audio/visual support for all days of the seminar (NOTE: This is required for the first live date of the course)?(Required)
Close proximity to a major airport?(Required)
Close proximity to restaurants and hotels?(Required)
Free wireless internet access for course attendees?(Required)
What airports are nearest to the location of the proposed conference facility?(Required)
Add as many as needed by clicking the + button
Airport Name
Approx. Distance from Facility
 
What hotels are nearest to the location of the proposed conference facility?(Required)
Add as many as needed by clicking the + button
Hotel Name
Address
Phone
 
This field is for validation purposes and should be left unchanged.