Training Registration Form

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Please complete this form to register staff for High Fidelity Wraparound Erie County Trainings and Booster Trainings.

A confirmation email will be sent to the supervisor and trainee email addresses entered below. Please ensure that the spelling is correct otherwise staff may not receive important emails.

Trainees will receive a reminder email a week before training with directions, training information, and any relevant pre-work. If you have any questions, please contact Sherry Conlan at hfwtraining@ccnyinc.org.

Trainee First Name *

Please enter trainee first name as it is entered in FidelityEHR.

Trainee Last Name *

Please enter trainee last name as it is entered in FidelityEHR.

Trainee Email *

Supervisor First Name *

Please enter Supervisor first name as it is entered in FidelityEHR.

Supervisor Last Name *

Please enter Supervisor last name as it is entered in FidelityEHR.

Supervisor Email *

Trainee Title *

Vendor

Care Coordinator

Vendor Supervisor

Care Coordination Supervisor

CCNY Staff

Erie County Staff

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