Michigan Association for Infant Mental Health
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Michigan Association for Infant Mental Health
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Event Registration
2020-2021.Foundations Core Curriculum
2020-2021.Foundations Core Curriculum
$
0.00
2 available
Name
*
First
Last
Email (enter carefully - this is where notifications and confirmations will be sent for each registered participant)
*
Agency/Organization
*
Cell Phone (would be used only for emergencies)
*
What is your level of endorsement, if applicable?
*
Waiver
Infant Family Associate
Infant Family Specialist
Infant Mental Health Specialist
Infant Mental Health Mentor
Early Childhood Family Associate
Early Childhood Family Specialist
Early Childhood Mental Health Specialist
Early Childhood Mental Health Mentor
Not Applicable
Please indicate your discipline
*
BA
BS
BSN
BSW
EdD
LP
LPC
MEd
MS
MSN
MSW
PsyD
PhD
What home visiting setting do you work in?
*
Community Mental Health
Early Head Start
Early ON/Early Intervention
Parents as Teachers
Healthy Families America
Maternal Infant Health Program (MIHP)
Nursing/Public Health
Home Visiting (Other)
What date did you start working with 0-6 year olds and their families?
*
What are you most looking forward to getting out of this training?
Base Price
I am registering as a Member ($650) | Non-Member ($750):
*
MI-AIMH Member
Non MI-AIMH Member
Membership ID
*
Payment for this training series
*
I will pay in one full payment
I will use the 2 payment plan option
Payment plan option allows you to make two payments: 1st payment: Due by August 31st; 2nd payment: Due by Oct. 31st **if you choose to use the payment plan option - select INVOICE on the payment page of registration.
Enter your License Number (required for continuing education)
If you are a licensed Social Worker or Professional Counselor - your License # is required to receive CEU's and clock hours.
Total
$0.00
Subtotal
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2020-2021.Foundations Core Curriculum quantity
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