Training Courses from the LSCI Institute
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1. Default Section
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1
. Please let us know who are you:
Please let us know who are you:
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
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IN Indiana
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KY Kentucky
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MP Northern Mariana Islands
OH Ohio
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OR Oregon
PW Palau
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TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
2
. Have you completed the LSCI Certification Course?
If "Yes," please use the Comment box to indicate the approximate date of training completion, location where you completed training, and name of your LSCI Trainer(s).
Have you completed the LSCI Certification Course? If "Yes," please use the Comment box to indicate the approximate date of training completion, location where you completed training, and name of your LSCI Trainer(s).
Yes
Not yet
Not sure
Comment:
3
. Which LSCI Institute courses are you interested in learning more about?
Which LSCI Institute courses are you interested in learning more about?
LSCI Certification Course
Introduction to LSCI: Crisis Prevention & De-escalation
The LSCI Refresher Course
The Angry Smile: The Psychology of Passive Aggressive Behavior in Families, Schools and Workplaces
The LSCI Group Curriculum for Children and Youth
Comment:
4
. What metropolitan area is the most convenient for attending training presented by the LSCI Institute?
What metropolitan area is the most convenient for attending training presented by the LSCI Institute?
5
. Would you be interested in having training delivered directly to your organization with our on-site training program?
Would you be interested in having training delivered directly to your organization with our on-site training program?
Yes
No
Comment:
6
. Are you interested in attending an LSCI Training on your own or are you interesting in arranging training for a group of your professional colleagues?
Are you interested in attending an LSCI Training on your own or are you interesting in arranging training for a group of your professional colleagues?
On my own
As part of a group of colleagues
Not sure
Comment:
7
. Please tell us more about your interest and needs for scheduling LSCI Training.
Please tell us more about your interest and needs for scheduling LSCI Training.
8
. What is your primary professional background?
What is your primary professional background?
Education/Special Education
Counseling
Social Work
Psychology
Residential Care or Group Homes
Other (please use the Comment section below)
Comment:
9
. How did you hear about the LSCI Institute and its training courses?
How did you hear about the LSCI Institute and its training courses?
10
. Is there a particular person(s) that we can thank for telling you about LSCI training?
Is there a particular person(s) that we can thank for telling you about LSCI training?
Thanks so much for taking the time to complete this survey. Your participation is very much appreciated.
We hope to work with you in the near future!
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