OFFICE OF CONTINUING PROFESSIONAL EDUCATION Workshop Registration Form for DHR Personnel Please chec 2025

1. Click ‘Get Form’ to open the OFFICE OF CONTINUING PROFESSIONAL EDUCATION Workshop Registration Form in our editor.
2. Begin by checking the appropriate boxes if you are utilizing a LDSS/SSA staff DHR training slot or an Adult Services LDSS staff DHR training slot.
3. Fill in your Full Name, Home Address (Street, City, State, Zip), Home Phone Number, and Cellular Number accurately.
4. Indicate whether you are an Alumnus/A of UMSSW by selecting 'Yes' or 'No', and provide your Degree and Year Earned.
5. Complete your Agency information, Work Address, Work Phone Number, and Email Address.
6. Ensure to obtain the necessary signatures: Supervisor Signature and LDSS/SSA Administrator’s Signature (required with designation).
7. List the Workshop # & Name for up to four workshops you wish to enroll in.
8. Remember that the registration deadline is two weeks prior to the workshop(s) you wish to attend. Submit your registration via fax or mail as indicated.

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