TBRI® Practitioners
If you're already a Practitioner, or interested in becoming one, please fill out this form to connect with our team.
Name
*
First Name
Last Name
Email
*
example@example.com
Organization
Position/Title
Supervisor Name
Supervisor Position/Title
What area of the state are you in?
*
Please Select
Region 1 - Orleans
Region 2 - Baton Rouge
Region 3 - Covington
Region 4 - Thibodaux
Region 5 - Lafayette
Region 6 - Lake Charles
Region 7 - Alexandria
Region 8 - Shreveport
Region 9 - Monroe
Outside of Louisiana
What sector best represents you/your organization?
*
Please Select
DCFS & Child Placing Agencies
Judicial Stakeholders
Mental & Behavioral Health and the Medical Community
Educators
Caregivers
Nonprofits & the Faith Based Community
Please select one of the following:
Please Select
I am already a TBRI® Practitioner
I am interested in becoming a TBRI® Practitioner
I completed Practitioner training:
Date:
Location:
Thanks for your interest in becoming a TBRI® Practitioner!
Our team will follow up with you with more information soon.
Submit
Should be Empty: