Home
Podcasts
Rose-Colored Glasses
Lions and Tigers and Bears-MI!
Contact Us
My Account
Log In
Home
Podcasts
Rose-Colored Glasses
Lions and Tigers and Bears-MI!
Contact Us
My Account
Log In
Name
*
First
Last
Credentials
Agency/Organization
*
Current Position
*
Physician
Physician Assistant
Nurse Practitioner
Nurse
Social Worker
Addiction Counselor
Peer Recovery Support Positions
Prevention
Other
Please describe
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
State where you work:
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Mobile Phone Number
*
(Workwise/Mountain Plains staff will be sending weekly SMS text messages related to course content. By inputting your phone number, you consent to receive text messages sent 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 mpattc@casat.org)
Enter Email
Confirm Email
Password
*
Enter Password
Confirm Password
Strength indicator
How did you learn about this event:
*
Do you have a background in or have you attended a Co-Occurring Disorders training
*
Yes
No
If yes, please explain.
*
What do you hope to learn by taking the Co-Occurring Disorders Workwise Series?
*
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.