VETS Mentoring Program COHORT Registration Form

VETS Mentoring Program Registration Form

Please fill out this form to register for the Basic Certification in the VETS Mentoring Program. There is no cost to attend the basic course. A Zoom link will be emailed to you one day before your registered class. Please register for only one Cohort.
Full Name

First NameLast Name
I want to register for the following virtual (Zoom) COHORT (Pacific Time):
You will be emailed a Zoom link one day before the training session. There is no cost to attend the basic course.
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization or Affiliation
Zip Code
Please select all that apply. I have a connection to Ventura County, California, because:
By selecting one or more of the above, I confirm that I have a current, prior, family, service, employment, referral, relocation, or other meaningful nexus to Ventura County.
Other
Comments or Questions
Please add any comments here. Required for submission.
Should be Empty:

VETS Mentoring Program Registration Form