Training Registration Information

As of October 1, 2014, the Arctic FASD Regional Training Center will no longer be offering monthly public workshops on FASDs. 

Our last public workshop will be on Tuesday, September 9, 2014. 

Registration for FASD Fundamentals and Intervention Strategies

FASD Fundamentals and Intervention Strategies Registration Form (PDF form, no online registration)

Registration for the all-day, back to back FASD Foundations (FASD 101) and FASD 201 workshop on 9/9

September 9 FASD Foundations & FASD 201 Registration Form (PDF form, no online registration)

 

FASD201

Please complete the online registration form below to register for one of our bimonthly FASD201 workshops.

DO NOT USE THIS FORM TO REGISTER FOR THE WORKSHOP ON SEPTEMBER 9.

If you wish to receive continuing education (CE) credit, for this workshop please print and submit this form, along with the $30 CE processing fee. The form can be scanned and emailed to arcticfasdrtc @ uaa.alaska.edu or mailed to:

Center for Behavioral Health Research & Services
Attn: Arctic FASD RTC
P.O. Box 241626
Anchorage AK 99524-1626

Please make checks out to CBHRS.

We are NOT able to accept credit card payments via fax, nor are we able to process credit cards online. Thank you for your patience and understanding.

 
Please enter your mailing address.

Please select your preferred workshop date.

Please enter your profession, e.g., occupational therapist, pediatrician, social worker, parent. If you are a student, please also enter your major.

 
 
 

Comprehensive FASD Workshop

We do not have any Comprehensive FASD Workshops scheduled currently. Please check back again soon.

Please complete the form below to register for the Comprehensive FASD Workshop.

If you wish to receive continuing education (CE) credit, please print and submit this form, along with the appropriate fees. The form can be scanned and emailed to arcticfasdrtc @ uaa.alaska.edu or mailed to:

Center for Behavioral Health Research & Services
Attn: Arctic FASD RTC
P.O. Box 241626
Anchorage AK 99524-1626

Please make checks out to CBHRS.

We are NOT able to accept credit card payments via fax, nor are we able to process credit cards online. Thank you for your patience and understanding.

 
Please select your preferred workshop date(s).

   
   
Please indicate whether you are a professional seeking FASD training.
Please indicate your profession, or the field you work in. For example, psychologist, counselor, physician, nurse, etc.

   
   
Please indicate whether you are a student seeking FASD training.
For example, B.A. social work, M.S. clinical psychology.

 
 
 

Train the Trainer

We do not have any Train the Trainer workshops scheduled currently. Please check back again soon.

If you wish to receive continuing education (CE) credit, or if you need to purchase a parking pass for this workshop, please print and submit this form, along with the appropriate fees. The form can be scanned and emailed to arcticfasdrtc @ uaa.alaska.edu or mailed to:

Center for Behavioral Health Research & Services
Attn: Arctic FASD RTC
P.O. Box 241626
Anchorage AK 99524-1626

Please make checks out to CBHRS.

We are NOT able to accept credit card payments via fax, nor are we able to process credit cards online. Thank you for your patience and understanding.

 
Please enter your preferred contact number. (Optional.)

Please enter your mailing address. (Optional, but recommended.)

Please enter your profession, e.g., occupational therapist, pediatrician, social worker, parent. If you are a student, please also enter your major.

 
 
 

Participant Information Form

Please complete this participant information form if you are attending a video-conferenced workshop. This form is NOT a registration form. If you wish to register for a workshop, please complete one of the forms above.

Thank you. 

 
Please enter your name

Please provide your email address

What is your profession? (For example, nurse, physician, social worker, LPC, juvenile justice officer, etc.)

What is your gender?

What is the highest level of education you have completed?

What was your major or concentration?

Are you a student?

What type of degree are you pursuing?

If you are currently a student, what is your major or concentration?

Would you like to be added to our electronic mailing list?

Do you need a certificate of completion for this workshop? (Note: this certificate is NOT a continuing education credit certificate.)

Please provide a mailing address if you wish to receive a certificate of attendance.