New Ethical Dilemmas – Registration 8.4.1

Name*

First Last

Credentials*

Agency/Organization*

Job Title/Current Position*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Mobile Phone Number*

(Mountain Plains ATTC 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 texting system.)

Email Address*

(By providing your email address, you will automatically be added to the Mountain Plains ATTC listserv; to opt-out, please contact MPATTC Staff at mpattc@casat.org)

Enter Email Confirm Email

Password*

Enter Password Confirm Password

Strength indicator

How did you find out about this event?*

What are you hoping to learn from this online 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.