Washington Association for Infant Mental Health · DC05 for Allied_Online

DC: 0-5 Overview: Understanding the zero to five mental health diagnostic system for allied professionals

This training was designed by ZERO TO THREE for to provide an overview for allied early childhood professionals of the DC: 0-5 mental health diagnostic system . If you are an infant/early childhood mental health clinician, please consider the more comprehensive "DC: 0-5 for Clinicians" training.

November 5 & 6, 9am-12pm

Online

$225 (no CEUs) | $250 (with CEU's)

IF YOU ARE AN ORGANIZATION AND WOULD LIKE TO REGISTER MULTIPLE STAFF MEMBERS AND RECEIVE ONE GROUP INVOICE, PLEASE CONTACT US AT TRAINING@WA-AIMH.ORG (DO NOT COMPLETE THIS FORM).

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Contact Information

Name

First Name

Last Name

Type of email?

Personal

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Organization/Employer

Program model, if applicable (e.g., home visiting model)

Address

Address Line 1

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City

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ZIP/Postal Code

CEUs

Would you like to receive CEUs?

CEUs will be available for Licensed Social Workers, Mental Health Counselors, and Marriage and Family Therapists (pending approval). The CEU fee is $25 for 6 hours.

Yes

Payment

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Registration Amount

$225 - Registration fee (no CEUs)

$250 - Registration fee (with CEUs)

Training Demographics Survey

Optional: The data collected below allows us to better understand our training participants and can help us communicate our impact to scholarship funders. Data is only reported for groups as a whole--your individual information will be kept confidential. By filling out the survey below, you are acknowledging that the information you provide can be included in WA-AIMH summaries and reports. Please provide any information that you are comfortable sharing. WHEN YOU ARE FINISHED, PLEASE CLICK 'SUBMIT' AT THE BOTTOM TO COMPLETE YOUR REGISTRATION.

Highest degree earned

High School/GED

CDA

Associates

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Medical or Law

Field Employed (other)

Years worked with infants, young children, and families

Less than 2 years

2 - 5 years

5 - 10 years

10+ years

Individual annual income

<$10,000

$10,000-$30,000

$30,000-$50,000

$50,000-$70,000

$70,000-$90,000

$90,000+

Do you directly support families on a weekly basis?

Yes

Do you supervise staff who directly support families?

Yes

Ethnic background (self-describe)

Please describe.

Please describe your gender (if desired).

Do you live in the community you serve?

Yes

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