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FAIMH Small Group RS/C Waitlist
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Cell Phone Number
*
Your answer
Are you a FAIMH Member?
*
Yes
Not Yet
What Endorsement Category do you align with? (If you're not sure, please consult the Endorsement Requirements & Competency Guidelines here:
https://www.faimh.org/competency-guidelines
)
*
Choose
Category 1 - Infant Family Associate
Category 2 - Infant Family Specialist
Category 3 - Infant Mental Health Specialist
Category 4 - Infant Mental Health Mentor--Clinical
Category 4 - Infant Mental Health Mentor--Research
Category 4 - Infant Mental Health Mentor--Policy
What language do you prefer to receive RS/C in?
*
English only
Bilingual - English/Spanish
Spanish only
Other:
Required
Do you have a preference of time of day?
Early Morning (before 9:00 AM)
Morning (9:00 AM - 12:00 PM)
Early Afternoon/Lunchtime (12:00 - 2:00 PM)
Afternoon (2:00 - 5:00 PM)
Evening (after 5:00 PM)
Do you have a preference of day(s) of the week?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
We will reach out to you when registration for the next cohort of small group RS/C is open. Contact us at
training@faimh.org
with any questions.
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