Michigan Association for Infant Mental Health
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Michigan Association for Infant Mental Health
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Event Registration
ECLS – 2021-2022.Core Competency Series
ECLS – 2021-2022.Core Competency Series
14 available
Name
*
First
Last
Email
*
Agency/Organization
*
Supervisor Name
*
Supervisor Email
*
Cell Phone (emergencies only)
*
Do you need continuing education as a Licensed Social Worker or Professional Counselor?
*
Yes
No
License Number (required for continuing education)
*
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
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BA
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LP
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Do you do home visiting? If so, which program?
How many years have you been doing IMH clinical work?
Not applicable
Under a Year
1-5 years
6-10 years
11-15 years
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21 years +
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What questions do you have for the speaker(s)? These will be sent prior to the training day.
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