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CPI - Certification For New Staff (non-nursing & non-orderly) at the ROMHC - January 2010

1. REGISTRATION FOR: Non-Violent Crisis Intervention

50%

Please select one of the dates listed below.
TIME: 8:30 am to 4:30 am
PLACE: The ROMHC - Room 1424

*
1. First Name:

First Name:

*
2. Last Name:

Last Name:

*
3. Email Address (in use):

Email Address (in use):

4. Telephone:

Telephone:

*
5. Program:

Program:

6. Please select a date for your NCI training:

	Please Choose Your Date
CANCELLEDThu - Jan- 7-2010 - Carillon Staff	*Please select a date for your NCI training: CANCELLEDThu - Jan- 7-2010 - Carillon Staff Please Choose Your Date
Thu - Jan-14-2010	Thu - Jan-14-2010 Please Choose Your Date
CANCELLEDFri - Jan-15-2010	CANCELLEDFri - Jan-15-2010 Please Choose Your Date
Mon - Jan-18-2010 - Carillon Staff	Mon - Jan-18-2010 - Carillon Staff Please Choose Your Date
CANCELLED Wed - Jan-20-2010	CANCELLED Wed - Jan-20-2010 Please Choose Your Date
Thu - Jan-21-2010	Thu - Jan-21-2010 Please Choose Your Date
Fri - Jan-22-2010	Fri - Jan-22-2010 Please Choose Your Date
Mon - Jan-25-2010	Mon - Jan-25-2010 Please Choose Your Date
CANCELLED Wed - Jan-27-2010	CANCELLED Wed - Jan-27-2010 Please Choose Your Date

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