2022 Training Registration Form
Please complete this form to register staff for High Fidelity Wraparound Erie County Training, Booster Training, and QPR Recertification (recertification is required every 2 years).

*****Training dates are listed as originally scheduled for 2022- If you are registered for any trainings and there are changes in dates or format (web based) you will receive an email update*****

A confirmation email will be sent to the Supervisor and trainee email addresses given below.

Trainees will receive a reminder email a week before training with directions and training information. If you have any questions, please contact Sherry Conlan at sconlan@ccnyinc.org.
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Trainee First Name *
Please enter your full name as it is entered in Fidelity EHR.
Trainee Last Name *
Please enter your full name as it is entered in Fidelity EHR.
Trainee Email Address *
Supervisor First Name *
Please enter your full name as it is entered in Fidelity EHR.
Supervisor Last Name *
Please enter your full name as it is entered in Fidelity EHR.
Supervisor Email Address *
Trainee Job Title *
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