2018 Mental Health Interpreter Training Registration

2020 Mental Health Interpreter Training Registration

Virtual Training July 2020
Participant Contact Information
Participant Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Phone Number*

Area CodePhone Number
Primary Phone Location*

HomeCellWork
Primary Phone type (select all that apply)*

VoiceTextVideophone
Participant Employment Information
Hearing Status (Interpreters will be provided.)*

DeafHard-of-HearingHearing
Job Title/Position*
Employer*
Supervisor Email*
example@example.com
City in which you work
CEUs Requested

RIDBEILMSWCPE
Session Information
Which Level I and/or Level II Session(s) would you like to attend?*

Level I // July 20-21 8:30a-12:30p both daysLevel I // July 22-23 8:30a-12:30p (7/22) and 1:30p-5:30p (7/23)Level II // July 24-25 8:30a-12:30p both daysN/A
Which Specialty Session(s) would you like to attend?*

But I Don't Do Mental Health // July 21 1:30p-5:00pCase Consult (Ethics) // July 25 1:30p-5:00pN/A
Payment Information

Level I and Level II $30/each

Specialty Sessions $20/each

In order to complete registration, you must submit payment by:

Check or Money Order can be mailed:

Texas School or the Deaf
Attn: Cashier's Office
1102 S. Congress
Austin, TX 78704
**MHIT in memo line**

Credit/Debit Payments over the phone
512-256-4343 (VP)
512-462-5368 (Voice)

For more information, go to:

Texas Initiative for Mental Health for Deaf Youth
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2020 Mental Health Interpreter Training Registration