Accessing ACT’s Client and Housing Assistance Funds

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Complete the form below to register for "Accessing ACT’s Client and Housing Assistance Funds" on Thursday, June 10, 2021. This training will take place from 9:30 am - 12:30 pm via Zoom.

PLEASE NOTE: All sessions are FREE, however failure to attend without a phone call/email at least 24 hours in advance will result in a $25 no-show charge and may limit your access to future trainings.

Case Manager Type *

What type of Case Manager are you?

Housing

AIDS Housing

Medical

Non-medical

I am NOT a case manager

其他:

Previous Trainings *

Have you attended any previous CMTI training sessions?

Yes

Agency Category *

Please select the category that best describes the agency you are employed by:

AIDS Housing Program

AIDS Services Organization

Homeless Shelter

Domestic Violence Shelter

Transitional Living Program

Agency on Aging

First Name *

Last Name *

Agency *

Address *

City *

State *

Zip Code *

Email *

Phone *

Supervisor Name *

Please list your supervisor's name.

Supervisor Email *

Please list your supervisor's email address.

Supervisor Phone *

Please list your supervisor's phone number (with extension, if applicable).

No-Show Policy Acknowledgment *

A cancellation of a scheduled instructor-led training made less than twenty-four (24) hours prior to the day of the scheduled training will be deemed a "no-show". No-shows for all confirmed registrations will be assessed a $25 "no-show" fee. In addition, recurring "no-shows" may have their access to future trainings restricted.

I have read the above policy and agree to abide by its terms.

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