May 8th, 9th, and 15th 2021 GSDP Training Registration Form
MindPath Care Centers' Gender and Sexuality Diversity Program will be hosting a virtual Microsoft Teams training on best practice care for queer and trans clients. This training will be held on Saturday, May 8th: 9:30 am-noon, Sunday, May 9th: 9:30 am-noon, and Saturday, May 15th: 10 am-noon. This adds up to a total of 7 NASW-approved CEUs available for attendees. Registrants must attend all three dates in order to receive CEUs and/or a certificate of completion. We are offering this training at a reduced price of $150 for MindPath affiliate therapists and all clinicians outside of MindPath. It is offered free of charge to MindPath's W2 employees as well as all LCSW-As who are employed at MindPath. We ask that any attendee who would like to receive CEUs pay $35 to cover their cost (CEU cost included in the $150 price). If you need to submit payment, please do so via our PayPal: https://tinyurl.com/gsdpayment. Please register below if you would like to join us!
Sign in to Google to save your progress. Learn more
Email Address *
First Name
Last Name
Pronouns (i.e. she/her, he/him, they/them, ze/zer)
What license do you hold?
Do you intend to receive CEU credits for attending this training? If so, please pay the $35 CEU fee via PayPal: https://tinyurl.com/gsdpayment. Please confirm with your own licensure board that you can accept NASW CEUs (note: at this time we are not able to provide CMEs).
Clear selection
Are you a provider from outside MindPath or a MindPath affiliate therapist? If so, please pay the $150 registration fee via PayPal: https://tinyurl.com/gsdpayment.
Clear selection
Organization you are affiliated with
How did you hear about GSDP?
Have you received LGBTQ+ Diversity Training in the Past? If so, please share your experience.
Thank you for your registration. The information you provided will be sent to the GSDP Program Coordinator who will follow up with you to confirm registration. Is there any other information, including any access needs, that you’d like to share?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy