Name: 2020-2021.Foundations Core Curriculum
SKU: 41391
Availability: InStock

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?*

Please indicate your discipline*

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):*

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

2020-2021.Foundations Core Curriculum

Product Description

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