MI – IP Registration – 8.1.1

Please Read Prior to Completing this Registration

In order to be eligible and register for the MI-IP Series, applicants are required to complete the 4-hour, free self-paced, online course Tour of MI: An Interprofessional Road Map for Behavior Change. Please submit the electronic copy of your certificate of completion during the registration process. Click "TOUR of MI" to take the course.

Name*
First Last
Credentials*
Agency/Organization*
Current Position*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone Number*
(MPATTC Staff & Consultants will be sending weekly SMS text messages related to course content (learning extenders). By inputting your phone number, you consent to receive text messages through an automatic telephone dialing system.)
Email*
(By providing your email address, you will automatically be added to the Mountain Plains ATTC listserv; to opt-out, please contact a MPATTC Staff Member at workwise@casat.org)
Enter Email Confirm Email
Password*
Enter Password Confirm Password

Strength indicator
How did you learn about this event?*
Are you currently providing treatment and/or recovery services in the behavioral health field?*
- Yes
- No
Do you have a background or have you attended Motivational Interviewing training for use in clinical practice?*
- Yes
- No
If yes, please Explain;*
What do you hope to learn by taking the MI-IP Workwise Series?*
Tour of MI Certificate of Completion – Upload to System*
Max. file size: 64 MB.
By checking here you are indicating that you understand the pre-requisite and technology requirements as well as the time commitment to participate in this training.*
- I understand the time commitment involved and agree to fully participate.