Registration for Friday, February 24th, 12pm-3pm Zoom training (3 CE's)

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* 1. Please enter your full name and credentials as you'd like them to appear on your CE certificate (i.e. Hailey Shafir, LCMHCS, LCAS, CCS)

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* 2. Please enter your license number and state (ie: LCMHCS S9539 in NC)

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* 3. Please enter the best email address to send your registration confirmation, invoice and Zoom link to for this training.

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* 4. Please indicate here if you need any special accommodations for this training (or put N/A if none).

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* 5. I understand that I must attend the full 3 hour training on 2/24/23 and complete a post-training evaluation in order to receive my CE certificate.

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* 6. What are you hoping to gain from this training? (i.e. identifying my own biases, skills for working w/ diverse populations, etc.)

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