Michigan Association for Infant Mental Health
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Michigan Association for Infant Mental Health
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Event Registration
ECLS.2021.3.26.of Retained Reflexes on the Attachment Bond
ECLS.2021.3.26.of Retained Reflexes on the Attachment Bond
145 available
Name
*
First
Last
Email
*
Agency/Organization
*
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
Please indicate your discipline
*
BA
BS
BSN
BSW
EdD
LP
LPC
MA
MEd
MS
MSW
MSN
PsyD
PhD
Please indicate your practice setting
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
16-20 years
21 years +
What are you hoping to gain from this training?
What questions do you have for the speaker(s)? These will be sent prior to the training day.
ECLS.2021.3.26.of Retained Reflexes on the Attachment Bond quantity
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