Hold your spot in a training session

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By completing this form you temporarily hold a spot in the training or coaching session you have selected. You will be sent a calendar invite with a zoom link after payment has been received.

Email *

Title of training *

Meaningful Feedback and Coaching, August 28th 9:30 am -12:30 pm EST, virtual

Name *

Agency name (if applicable)

On what topics to you provide supervision or feedback?

administrative tasks--paperwork, scheduling, etc

mental health

early childhood/parenting

health

child welfare

adherence to protocols/standards of practice

other

Phone number *

Any accommodations you need to fully engage or any questions you'd like to ask in advance?

Which best describes how you learned about training or coaching from Rachel Galanter, LLC? *

Google search

Attended a presentation, training, or coaching session with Rachel before

Social media (Linked In, Facebook, etc)

Colleague or coworker

Motivational Interviewing Network of Trainers

Email from Rachel

Required

Please pay using this link or commit to providing a check before the date of the training *

I paid $75 using the link provided, paypal @rachelgalanterllc ($55 before August 1)

I /My agency prefers to pay by check and I will provide a $75 check before the training. (Please mail checks to Rachel Galanter, LLC 920 N Buchanan Blvd, Durham NC 27701)

I had difficulty with the link and I need to talk with you. Please call or text me.

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