Group Counseling: Intentionally Built & Effectively Facilitated 8.3.1

Name(Required)

Credentials(Required)

Agency/Organization(Required)

Current Position(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Mobile Phone Number(Required)

(Mountain Plains ATTC Staff & Consultants 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 Address(Required)

(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(Required)

Enter Password Confirm Password

Are you Hispanic or Latino/a?

Yes

Prefer not to answer

What is your race?

What are you hoping to learn from this online series?(Required)

By checking here you are indicating that you understand the technology requirements and participant commitment as follows:(Required)

Access to appropriate technology to utilize online videoconferencing platform (i.e., an internet connection, built-in or USB webcam, laptop/tablet, built-in/USB/Bluetooth speakers and microphone) Attend a one-hour online Orientation Session on the scheduled date and time Commit to 6-weeks of training for 1.5 hours weekly on scheduled series days/times. Participants are expected to be visible on camera 90% of the scheduled series time to earn the weekly 1.5 CE. Complete one-hour of weekly self-study learning activities and participate in discussions during the weekly sessions verbally or via chat during the scheduled series days/times in order to receive the one-hour weekly learning activity CE.

I understand the time commitment involved and agree to fully participate.