Access to Webinar Request
In order to verify you attended a training within the past 5 years, we need the following information.
If you are unable to answer a question, please write "unknown."

*Once form is submitted you will receive an email confirmation with instructions to order new webinar. You will receive this email within 5 business days.

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First Name *
Last Name *
Date of Training (if you do not recall exact date, please provide approximate date) *
Location of Training (city & state) *
Email address (at time of training) *
Agency (at time of training) *
Additional information that could help us verify your attendance.
Do you work for a nonprofit organization? *
I agree to the Use of Curriculum agreement (copy and paste link to view) *
I understand my certification as a trainer is valid two years from the purchase of the new webinar. Your certificate will include the expiration date. Notification will be sent two months prior to expiration with instructions on how to renew certification. *
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