Training Registration Form

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Training Registration Form

To ensure the accuracy of your registration, please complete all the fields on the following form. When completed click on the "Register" button at the bottom. Please register one person per registration form. Click here for the printable registration form.

* Indicates required fields.

Name*:

My name has changed. It was:

Job Title

I am a student:	BSW MSW Other
University:

Agency*:

Address:

City:

Zip Code:*

Work E-Mail*:

Work Phone:

Cell Phone (Optional):

Fax:

Confirmation letters will be faxed within one week of our receiving this form

Supervisor/Foster Care Coordinator: *

Do you have any job responsibilities for providing ongoing case management for CPS/JJ cases?	YesNo
Do you have any job responsibilities for working with children and/or youth placed in out-of-home care?	YesNo
Do you supervise any of the above functions?	YesNo

Supervisory and/or Practice Areas (Check all that apply):*
CPS	Juvenile Justice
Foster Care Coordinator	Foster Parent
Special Needs Adoption	Para-Professional
Other: Please specify

Year of experience in Child Welfare (CPS and/or JJ) regardless of agency

Vegetarian Meal

If you require disability-related accommodations please contact Liz Hessler @ 920-465-2724. Requests for accommodation should be made as soon as reasonably possible and no later than 14 days prior to the event

Please Register me for the following training(s):
ID:	Training Title:	Date(s):	Location:	Fee:

Will your agency be paying for this training*

Registration Fee: Unless otherwise stated the registration fee is $20 per day for Partnership members and $120 per day for non-members (includes refreshments and lunch).

Confirmation Letter: You will receive a confirmation letter by fax or be contacted about being put on a waiting list within five working days after we receive your registration. This letter is your receipt. If you do not receive confirmation prior to attending training you should call 920-465-2724 to check the status of your registration. Please do not attend training without confirmation.

Cancellation policy: Cancellation Policy: Registrants, registered for a training session offered by NEW Partnership, who wish to no longer attend the session for which they are registered must cancel more than five (5) working days prior to the first day of the training in order to avoid fiscal penalties. Registrants who cancel more than five (5) days prior to a training session will be refunded the registration fee they or their agency paid for the cancelled training session.

Registrants who cancel five (5) or fewer working days prior to the first day of the training session will not be refunded the registration fee they or their agency paid for the session or will be billed for the registration fee if the NEW Partnership has not yet received the registration fee. However, the registrant will not be charged if they can arrange for someone from their same agency to register and attend in their place. Please inform the NEW Partnership of the substitution prior to the training session by calling 920-465-2724.

Registrants who transfer to another training session five (5) or fewer working days prior to the first day of the training session will be treated as a cancellation and the registrant remains responsible for paying the registration fee.

Please Note: Your name as it appears on this registration is how it will appear on all training related documentation (i.e. confirmation letters and nametags).

Registration preference is given to Partnership members for Special Skills and Topics training. Registrants who are not members of the Wisconsin Child Welfare Training Partnerships will be placed on "wait list" status until the training registration deadline. At that time they will be notified if there are spaces available for them to attend the training.

About Us - Training - Registrants - Supervisor - Trainers - Resources
Intertribal Child Welfare Training Partnership - Milwaukee Child Welfare Partnership - Southern Partnership - Western Wisconsin Partnership - Wisconsin Child Welfare Training System - University of Wisconsin-Green Bay

URL: http://www.uwgb.edu/newpart/
University of Wisconsin - Green Bay
NEW Partnership for Children and Families
Cofrin Library 750
2420 Nicolet Dr.
Green Bay Wisconsin 54311
920-465-2724

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