Michigan Association for Infant Mental Health
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Michigan Association for Infant Mental Health
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Event Registration
ECLS.2021.9.27.Affirming Care & Support
ECLS.2021.9.27.Affirming Care & Support
$
0.00
178 available
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?
*
Yes
No
License Number (required for continuing education)
*
What is your level of endorsement, if applicable?
*
Infant Family Associate
Waiver
Infant Family Specialist
Infant Mental Health Specialist
Infant Mental Health Mentor
Not Applicable
Please indicate your discipline
*
BA
BS
BSN
BSW
EdD
LP
LPC
MA
MEd
MS
MSW
MSN
PsyD
PhD
How many years have you been supervising IMH clinicians?
*
Under a Year
1-5 years
6-10 years
11-15 years
16-20 years
21 years +
How many people do you supervise in an IMH setting?
*
1-5
6-10
11-15
16-20
21 +
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.
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