The Biology of Addiction and Medical Assisted Treatment
Complete the form below to register for "The Biology of Addiction and Medical Assisted Treatment" on Wednesday, May 9, 2018. This training will take place from 9:30 am - 12:30 pm at United Way of Greater New Haven, 370 James St, Suite 403, New Haven, 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 *
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Last Name *
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Agency *
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Address *
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City *
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State *
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Zip Code *
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Email *
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Phone *
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Supervisor Name *
Please list your supervisor's name.
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Supervisor Email *
Please list your supervisor's email address.
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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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