Training Registration Form
Please complete this form to register staff for High Fidelity Wraparound Erie County Training, Booster Training, and QPR Refresher.

A confirmation email will be sent to the Supervisor and trainee email addresses given 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 changes related to location (in-person/virtual). If you have any questions, please contact Sherry Conlan at sconlan@ccnyinc.org

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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 *
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