CIT Companion Course for Behavioral Health Professionals Registrations 2019
Use this form to register for the September 25-26 2019 Crisis Intervention Team Companion Course for Behavioral Health Professionals. The training is free to staff of Tri-County Board provider agencies in Darke, Miami or Shelby County (Ohio). Registration will be limited to 20. A wait list will be maintained for registrations over 20. CEUs are available
First name *
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Last name *
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Job Title *
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Agency/Provider *
Email address *
Please provide an email address where we can send you information about the training
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Phone number *
Please provide a phone number where you can be reached with late-breaking updates
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Professional Licence Number (for CEUs)
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Dietary restrictions
Light breakfast and lunch are included. Please note any dietary restrictions
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Comments
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