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Event Registration
Humanizing Mental Health & Neurodivergent Flourishing
May 21st, 2024
NOTE: Now being offered virtually!! If you are unable to attend virtually, you can also register to receive a recording of the learning event.
Contact us at hello@myplaceofmind.com
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Email
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Your email
Name (First & Last)
*
Your answer
Organization
Your answer
Please select all that apply to you
*
Person receiving Long-term Care services
Family member of a person receiving Long-term Care services
Family caregiver
Direct Support Professional
Long-term Care Service Provider
Other Service Provider
Community member interested in grant efforts
Licensed Social Worker
Licensed Professional Counselor
Other:
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Zip Code
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Your answer
Approximately how many participants in the Long-Term Care system do you support or interact with?
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0-5
5-25
25-50
50-100
100+ (Please indicate number in "Other")
Not applicable
Other:
Approximately how many families of participants in the Long-Term Care system do you support or interact with?
*
0-5
5-25
25-50
50-100
100+ (Please indicate number in "Other")
Not applicable
Other:
Select Registration Type:
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I would like to join virtually
I would like access to the recording
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