HDC's 5.0-hour Employment Training Registration

HDC's Employment First Continuing Education 5-Hour Training Registration
Choose one or more training days either Live via Zoom or via Self-Study Online:*
prevnext( X )
Day 1 - Self-study virtual online
Disability & Employment History, Policy & Funding and Assessment

$125.00



Day 2 - Self-study virtual online
Job Development and Job Site Training

$125.00



Day 3 - Self-study virtual online
SSA Benefits & Work Incentives and LRS Milestones and Quality Indicators

$125.00



Total

$0.00
Name

PrefixFirst NameMiddle NameLast NameSuffix
Each of these trainings counts for 5-hour of Continuing Education credit with a 20-hour certificate given if all three days are attended.
(The LRS requirement is 20 hours every two years.)

Fee per 5.0-hour training: $125.00
Participant First Name*
Participant Last Name*
Agency Name*
Employment Support Professional (e.g., Job Coach)Owner/Program ManagerInterested in becoming a vendorOther
E-mail Address of Participant*
Will be used for registration confirmation.
Optional Second E-mail Address
To receive copy of registration.
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Accessibility accommodation requests/comments. (Leave blank if no accommodations are needed.)
A certificate of completion will be issued once payment is received and all identified course quizzes & assignments are completed.

Payment Options:

Check or money order can be made out to:
LSUHSC Human Development Center
Please include copy of registration information (attached to the confirmation e-mail) with payment and mail to:
LSUHSC Human Development Center
c/o Mitze Bruce Jones
Box SP-4-460
411 South Prieur Street
New Orleans, LA 70112

LSUHSC HDC policy is that credit toward a future class will be given if you are unable to attend. No refunds. If you have any questions, please contact Laura Stazio (lstazi@lsuhsc.edu).

Our policy is that credit to a future class will be given if you are unable to attend. No refunds.
If you have any questions, please contact
Laura Stazio (lstazi@lsuhsc.edu).
I understand that payment is due before the start of class and that no certificate will be issued until delinquent payment is received.
Please verify that you are human*
Should be Empty:

HDC's Employment First Continuing Education 5-Hour Training Registration

I understand that payment is due before the start of class and that no certificate will be issued until delinquent payment is received.