The Q Corner is excited to bring you this training opportunity.

This form is only for individuals who are not able to register for trainings in sccLearn. CEUs are only available to folks who register in sccLearn.

Trainings are available to individuals providing services to Santa Clara County residents.

Please complete this Registration Form to lock in your space today!

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* 1. Which trainings do you plan to attend:

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* 2. What is your name? 

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* 3. What is your email address?

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* 4. What is your contact phone number?

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* 5. What is your job title and/or role in the context of this training?

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* 6. What is the name of the Agency and/or Department you work for?

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* 7. What is the name of the Program you work for?

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* 8. What County and State do you primarily provide services in?

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* 9. Please note any questions or comments here:

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