Understanding Labs
Complete the form below to register for "Understanding Labs" on Wednesday, April 4, 2018. This training will take place from 9:30 am - 12:30 pm at Hands On Hartford, 55 Bartholomew Ave, Hartford, CT.

PLEASE NOTE: All sessions are free for ACT members. Non-members will be charged $25 per person (please mail check to ACT, 110 Bartholomew Ave, Ste 3050, Hartford, CT 06106). Failure to attend without a phone call/email at least 24 hours in advance will result in a $25 no-show charge and may limit your access to future trainings.

Case Manager Type *
What type of Case Manager are you?
Previous Trainings *
Have you attended any previous CMTI training sessions?
Agency Category *
Please select the category that best describes the agency you are employed by:
First Name *
Your answer
Last Name *
Your answer
Agency *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email *
Your answer
Phone *
Your answer
Supervisor Name *
Please list your supervisor's name.
Your answer
Supervisor Email *
Please list your supervisor's email address.
Your answer
Supervisor Phone *
Please list your supervisor's phone number (with extension, if applicable).
Your answer
No-Show Policy Acknowledgment *
A cancellation of a scheduled instructor-led training made less than twenty-four (24) hours prior to the day of the scheduled training will be deemed a "no-show". No-shows for all confirmed registrations will be assessed a $25 "no-show" fee. In addition, recurring "no-shows" may have their access to future trainings restricted.
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