Registration Information

Education___Training
Registration Information

Training Registration Information

Registration is required for our FASD Foundations (FASD101) workshops, our FASD201 workshops, and our Train the Trainer workshops. These workshops are free* and are open to anyone interested in learning more about FASDs.

FASD Foundations and FASD201 workshops are offered on a bimonthly basis beginning August, 2010. Please note that prior completion of FASD101 is required for participation in FASD201. 

*Participants may have to pay UAA parking fees. More information about parking at UAA can be found at UAA Parking Services.

Please click on one of the links below to register.

FASD Foundations Registration
FASD201 Registration
Comprehensive Workshop Registration
Train the Trainer Registration
Participant Information Form
 

FASD Foundations

Please complete the online registration form below to register for one of our bimonthly FASD Foundations (FASD101) workshops.

If you wish to receive continuing education (CE) credit for this workshop, please print and submit this form, along with the $25.00 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.

FASD Foundations workshops will be held from 9 a.m. to 1 p.m.

Please enter your profession, e.g.: occupational therapist, social worker, student, parent, care-giver. If you are a student, please indicate your educational goal (e.g. Masters) and major (e.g. clinical psychology)

Please check the box if you wish to receive email updates and newsletters from the Arctic FASD RTC. Your email address will not be shared with organizations outside of the Arctic FASD RTC.
 
 
 

FASD201

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

If you wish to receive continuing education (CE) credit, for this workshop please print and submit this form, along with the $25.00 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.