LATC

Registration Form

Wraparound Basic Training

06/162/2013 Thru 06/165/2013

-EVENT LOCATION-
San Fernando Valley Community Mental Health
14545 Sherman Circle
Van Nuys CA 91405

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

IMPORTANT INFORMATION:

All training modules start promptly. Please allow for traffic conditions when planning trip.

DUE TO LIMITED SPACE, THERE IS NO PARKING ON SITE.
Free parking is available across Sherman Circle in the Medical Plaza’s parking structure. Training attendees may park on the 3rd level or above for free.

Lunch is not provided.

Trainee Information

Name Of Trainee:
Position of Trainee:
Email Address of Trainee:
Agency:
Service Provider Area (SPA): *For LA County Agencies Only
Program Manager's Name:
Program Manager's Phone:
Program Manager's Email:

Please check which training(s) will be attended. Please Note: Each training session is $70.00 unless trainee is signed up for the whole set!

Date	Session Title	Hours/Cost
Jun 162, 2013	Elements of Wraparound	9am-12pm $70
Jun 162, 2013	Team Building/Resource Planning	1pm-4pm $70
Jun 163, 2013	Introduction To Trauma Informed Care	9am-12pm $70
Jun 163, 2013	Role of the CFS	1pm-4pm $70
Jun 164, 2013	Role of the Facilitator	9am-12pm $70
Jun 164, 2013	Working with LGBTQ Youth	1pm-4pm $70
Jun 165, 2013	Role of the Clinician	9am-12pm $70
Jun 165, 2013	Role of the Parent Partner	1pm-4pm $70
I Want To Attend All Sessions $400