Staff Essential of Trauma Competency Training Series

DeKalb CSB Staff Registration

DeKalb CSB are invited to attend this training free of charge.  To register, please complete the form below.  Your RU and Supervisor’s information is required.
General registration can be found here.
RU # (Retrieve from Center Director)*
DeKalb CSB Center Location*
Supervisors Name (First, Last)*
Name:*
Mobile Phone:
-
Work Phone:
-
Address:*
E-mail:*
Company/Organization:*
Select Registration*
Requested Certification
License Number
How did you hear about this event?*
DeKalb Community Service Board will be photographing and videotaping some of the events at this conference. By registering for this conference, I consent to DeKalb CSB’s use of my photograph and image on its website and in its marketing materials.*
Word Verification:

Mailing: PO Box 1648, Decatur, GA 30031
General information: 404.294.3834
Appointments, referrals and crisis support: 404.892.4646

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