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Training Registration

You will have the opportunity to select your specific training and provide payment information (if required) at the end of this form.

You are registering for a 2022 Connections Volunteer Center Training

Please complete this form to register for any of the Connections training events.

Contact Details
Name*
First Last
Current Employer
Address*
Street Address Apt., Suite, etc. City State ZIP Code
Email*
Enter Email Confirm Email
Phone (Primary)*
What type of emails would you like to receive from us?
- Select All
- Volunteer Recruitment Emails
- Can We Talk? Volunteer news for those aged 55+
- Training Updates
Can We Talk? for those ages 55+ is published 1x per month. Training emails are sent 2x per month. Recruitment Appeals are sent as needs arise.
CEU Credits Needed?*
- CEUs Social Worker
- CEUs Counselor
- I do not require specific credits
Please provide your license #*

Please enter N/A if not licensed
Event Details & Fees
Available Training for 2022
Choose your training
- 11/16/2022 QPR - Gatekeeper Suicide Prevention / 6:00 - 7:30 pm 1 CEU
- 11/16/2022 QPR - Gatekeeper Suicide Prevention / 6:00 - 7:30 pm No CEU (FREE)
- 11/30/2022 The Ethics of Equity / 9 am - 12:15 pm 3 CEUs
Payment Details
Payment Options*
- Pay Now
- Invoice My Employer
- Pay by check
Make check payable to:
Connections Volunteer Center
39 W Winter St.
Delaware, OH 43015
Please enter your discount code (if applicable):
Total
$0.00
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Make check payable to:
Connections Volunteer Center
39 W Winter St.
Delaware, OH 43015
Employer Address for Invoice
Street Address Address Line 2 City State ZIP Code
Employer Email for Invoice