Name: ECLS.2021.9.13.IMH Leadership Day
SKU: 65504
Availability: InStock

Name*

First Last

Email (you will receive a confirmation email using this entry)*

Agency/Organization*

Cell Phone (emergencies only)*

Are you a Licensed Social Worker or Licensed Professional Counselor?*

License Number (required for continuing education)*

What is your level of endorsement, if applicable?*

Please indicate your discipline*

How many years have you been supervising IMH clinicians?*

How many people do you supervise in an IMH setting?*

What are you hoping to gain from this training?

What questions do you have for the trainer? These will be given to the trainer before the training day.

ECLS.2021.9.13.IMH Leadership Day

Product Description