Group Facilitation Skills Registration Form
Please use this form to register for an upcoming Group Facilitation Skills Training with Anjali Nandi, MA, LAC, sponsored by OBH. Please submit a separate form for each registrant. Once you  have completed this form, you will receive an email confirmation within a week verifying your registration.

Please note these trainings are FULL days and scheduled from 9am to 4pm

Dates and locations are as follows:

- Golden Feb 5, Golden Community Center
- CO Springs April 9, Tim Gill Center
- Grand Junction May 14, Grand Junction Clarion Inn

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Training Location *
Name *
Agency *
Complete Agency Address *
Agency Phone *
Email Address *
Re-enter your Email Address *
Cell Phone *
Current Job Position *
Current licensure/CAC certification *
Years of experience in the field *
Level of Education *
Pre-requisites
There are pre-requisite requirements needed in order to attend this training.  Please indicate your experience below.
Have you completed CAC II training or taken a master's level group facilitation skills class? *
Have you had training in Motivational Interviewing? *
Have you had at least 1 year experience facilitating groups using a DUI-specific OBH approved curriculum? *
What is your biggest challenge/area of growth or interest right now in facilitating groups (optional):
Anything else you would like the trainer to know?
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