2010 Vermont Freemasons CARE Training
 

REGISTRATION FORM

 
This two-day workshop will help build educators’ skills in identifying at-risk students and providing appropriate guidance. This training is an opportunity for schools to create an informed team of three to six members (must include one administrator) to identify, intervene with, and create appropriate referrals for students who may be at risk for substance abuse, depression, suicide or violence and other unhealthy behaviors.

Dates: March 30 and March 31, 2010

Training Check-in: March 30 from 7:30 - 8:00 AM

Day One: 7:30 AM - 4:30 PM (includes continental breakfast and lunch for all participants, and dinner for those staying overnight)

Day Two: 7:30 AM - 4:30 PM (includes a full breakfast and lunch for all participants)

Location: Doubletree Hotel, South Burlington, VT

Cost: FREE - Training, lodging, meals and snacks are provided by the Grand Lodge of Masons of Vermont. Only cost to schools will be participant's single room fees (if requested) and any incidental charges from hotel.

Letter of Commitment from your school administration (principal) is required to attend.

Registration Due Date: February 26, 2010

Please note there is not a print option available for this online registration. If you would like a printed version of your registration please print each page before you click "Next".
Please note that, due to space availability, it may not be possible to accomodate all teams that register. Your team will be notified of acceptance on March 1, 2010. If accepted to attend, your confirmation email will include instructions on reserving hotel rooms. (Overnight accomodations are provided by the Vermont Freemasons.)

SCHOOL

STREET ADDRESS

CITY

STATE

ZIP CODE

SCHOOL PHONE

SCHOOL FAX

TEAM CONTACT PERSON

E-MAIL OF CONTACT (Double-check for accuracy, as this is how you will be contacted!)

EVENING PHONE OF CONTACT

WINTER CONTACT PHONE NUMBER
(In the event of a delayed start or cancellation, this contact will be responsibile for informing other team members.)