TEENS IN ACTION TRAINING - REGISTRATION
Teens in Action is a certified peer mentor program where both youth and their adult mentor become certified in the "Teens in Action" model program training. 

Live Closed Captioning Available During This Training

Contact us at briana@omniyouth.net for further questions or support
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Training Requirements

-  Attend 4 -hour training session

-  Facilitator* AND Youth MUST Attend

(*if facilitator is previously trained with us, they can skip the training session) 

First Name *
Last Name *
Email *
Phone Number *
If needed, can we text you at the above number?  *
Name of Organization, Group, or School 
Address of Organization, Group, or School
Personal Address (for certification purposes only)  *
Continuing Education Hours
Would you like to receive free Continuing Education Hours?
 *
If yes, please provide license #
The following demographic questions are for reports and funding purposes.
If you are registering with Mentor or a Teen(s), please provide name of Mentor or Teen(s).
 *
Age *
Ethnicity *
Sex *
Do you need a translator or any other accommodation during the training?
 *
If you answered yes to the previous question, what accommodations are needed? 
By checking this box I agree to attend BOTH 6-hour training sessions  *
Required
Following your registration, you will receive an email from briana@omniyouth.net for follow up questions/details. Thank you! 
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