Name: Enough Abuse Strategies for Your Family and Community
Start: 2022-09-21T18:30:00-05:00
End: 2022-09-21T20:30:00-05:00
Location: Zoom

SANE-A Clinical Skills Lab

Training will take place August 29-30, 2022

Name*
First Name Last Name
Completed Prerequisite SANE-A Didactic*
You cannot move forward with the training unless you have taken the SANE-A Didactic.
- Yes
- No
- No, but will have 80% of the didactic training completed prior to the Clinical Skills Lab
Organization/Facility*
Title*
Credentials/Degree*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email Address*
Work Phone Number*
Cell Phone Number
Please answer yes below if you need hotel accommodations. * (We will book hotel rooms for you using grant funding.)
- Yes
- No
If you answered yes to needing a hotel, please indicate which nights lodging is needed.
Accessibility needs:*
Please list any additional needs not previously listed.
Email
This field is for validation purposes and should be left unchanged.

SANE Clinical Skills Lab

SANE-A Clinical Skills Lab