Ernie Mendes ~ 2 Dynamic Presentations ~ December 15, 2020 and January 12, 2021 Presented by Ernie Mendes, PhD Question Title * 1. I would like to register for: Both Trainings ~ December 15th - Building Our Best Self (9:00AM to 1:15PM PST)January 12th - Successful Virtual Engagement (9:00AM to 1:15PM PST) December 15th Training - Building Our Best Self (9:00AM to 1:15PM PST) January 12th Training - Successful Virtual Engagement (9:00AM to 1:15PM PST) Question Title * 2. Name: First: Last: Question Title * 3. In what primary role are you participating in this training? Adoptive Parent Foster Parent / Kinship Care Birth Parent Community Member Social Services Professional Family Resource Center Staff Health Care Professional / Administration Mental / Behavioral Health Professional Public Health Professional / Administration Early Childhood Educator/Caregiver Teacher - Elementary/Middle/High School College Faculty / Administration Home Visitor Law Enforcement Tribal Program Student County Board of Supervisor/City Council Member County Administration Other (please specify) Question Title * 4. Phone Number: Question Title * 5. E-mail Address: Question Title * 6. Please include your mailing address below so we can send you Ernie's newly released book "Virtual Engagement" upon your completion of this training: Name Address City/Town State ZIP/Postal Code Question Title * 7. Would you like to receive, by e-mail, information about future trainings in our county? Yes No Done