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Child Welfare Certification Training - Registration


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First Name:
Last Name:
Email Address:
Agency:
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Address 2:
Address 3:
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Work Phone:
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Supervisor's Name:
Supervisor's Email:
Date Started Employment:
   
Please indicate whether you will be attending the Fall or Spring series.
Fall 2018 - CLOSED PLEASE EMAIL PETER.TUNSETH@UND.EDU
Spring 2019
   
Lodging: Room Needed  No Room Needed
   
*NOTE: Please use the Comments section for any additional information you would like to provide us.
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