Infant Mental Health Training Interest (SPCC)
Please complete this form if you are interested in an upcoming ten week Infant Mental Health: Theory to Practice training. Once you submit, you will be on a mailing list to receive more information. Please note that we host this training twice per year, with start dates in mid-September and end of January.
Email address *
Name *
Address
Phone number
Field of Work, Discipline, Agency *
Do you currently (or have you in the past): *
Are you interested in receiving Continuing Education Credit for one of the following licenses: *
Are you interested in pursuing Infant Mental Health Endorsement through The New York State Association for Infant Mental Health *
Have/do you received Reflective Supervision (currently or in the past) *
Tell us a bit about why you are interested in participating in this training.
Anything else that is useful for us to know or be aware of.
Submit
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