Michigan Association for Infant Mental Health
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Michigan Association for Infant Mental Health
Store
Event Registration
2022.Jan.Feb.IMH.Intro.Training
2022.Jan.Feb.IMH.Intro.Training
Base Price
Non-Member Price
23 available
You are registering for the IMH Introductory three-day training.
Name
*
First
Last
Email
*
Agency/Organization
*
Cell Phone (emergency use only)
*
What is your category 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
Please indicate your primary practice setting
*
Child Welfare
Community Mental Health
Early Care (Child Care)
Early Head Start
Early ON/Early Intervention
Head Start
Home Visiting
Other Home Visiting (Parents as Teachers; Healthy Families America, etc.)
Hospital Setting
Maternal Infant Health Program (MIHP)
Not Currently Practicing
Private Practice
Students
University Faculty
How many years have you been doing IMH clinical work?
*
Under a Year
1-5 years
6-10 years
11-15 years
16-20 years
21 years +
What are you most looking forward to getting out of this training?
Base Price
I am registering as a Non-Member ($210) | MI-AIMH/Alliance State Member ($150) | Current Student ($100):
*
Member
Non-Member
Student (with valid ID)
Students will be required to email a copy of their current student ID to tmartinez@mi-aimh.org.
Membership ID (Alliance Members, enter your state)
*
Are you a Licensed Michigan Social Worker or Licensed Professional Counselor?
*
CEU
No CEU
Continuing Education: Social Work Credits are for Michigan only. Counselor Hours are for Licensed Professional Counselors through NBCC - individuals need check if your state (Michigan does) allows NBCC block hours.
License Number (required for continuing education)
*
Total
$0.00
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Description
Product Description
Category:
Event Registration
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