WV State University | WVFACT Registration

Kinship (NTDC) Pre-Service Training Registration Form
Name

First NameLast Name
- Please enter your full legal first and last name (no nicknames, please).
- If you need to register an additional participant, please include their full first and last name in the comments section or submit a separate registration form for them.
Email Address
example@example.com
- After submitting your registration, please watch for a “Registration Confirmation” email from WVFACT. Be sure to check your junk or spam folder if you do not see it in your inbox.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Choose Your County:
Type of Training:
Please note: If the selected round reaches capacity, you may receive a call or email regarding alternate training options.
Select Training Wishing to Start:
Preferred Training Day:
Training:
How you would like to receive your training materials? Choose Below
If you need additional help using Zoom or have any technology-related questions, please select “Yes” below. We’ll be happy to schedule a time with you before the training begins to walk through everything and make sure you feel comfortable and prepared.
Comments:
Should be Empty:

Kinship (NTDC) Pre-Service Training Registration Form