Provider Development Registration
Integral Mental Health Skills for Serving LGBTQIATS+ Youth Thursday, September 17 • 9:30–11:30 a.m. (CT)
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Company
Role or Title
Do you require any accommodations to fully participate in this training?
How did you hear about this training?
Please Select
HP-MN Website, Social Media, Team Member
Email
Social Media
Colleague
Trainer (JAC Stringer)
Other
Would you like to receive updates about future professional development trainings from The Healing Project of MN?
YES
NO
Continuing education (CE) approval through the Minnesota Board of Social Work is currently pending. All participants who attend the full training will receive a certificate of attendance documenting the number of instructional hours completed.
Attendees are responsible for determining whether this training meets the continuing education requirements of their respective licensing board.
License Type
Social Worker
Professional Counselor
Marriage & Family Therapist
Psychologist
Alcohol & Drug Counselor
School Counselor
Student
General Attendance
Your registration is not complete until payment has been received.
My Products
*
prev
next
( X )
Professional
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Student/ Clinical Intern
$40.00
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Payment Methods
Debit or Credit Card
ACH Bank Transfer
Klarna
Submit Registration & Payment
Should be Empty: