Guiding Good Choices For Professionals Registration Form

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Thank you for your interest in Guiding Good Choices! This registration form is for our condensed GGC series, geared towards professionals that work with families and would like to understand the class as a resource for the families they work with. Continuing Education Credits may be available upon request.

We will meet three Wednesdays in a row from 12:30 - 2:30pm ET beginning on March 8th 2023 and ending on March 22nd.

Please fill out the following information so that we can better serve you during our program.

Email *

Name: *

Mailing address: *

What county do you live/work in? *

Phone: *

May we text you at this phone number listed? *

Yes

Would you like to be added to a text reminder service through the Remind App? *this is how we sent 1hr text reminders for each class. You do not have to download the app.
*

Yes

Number of children in the home? *

1-2

3-4

5 or more

None

Number of children between the ages of 9-14? *

1-2

3-4

5 or more

none

What device will you be typically using to log on to the program? *

Computer

Laptop

Tablet

Phone

This virtual class is done on zoom. How comfortable are you with the features of zoom? *

Very comfortable

comfortable

not very comfortable

I have no idea what that is

Connecting to a zoom meeting

Muting my audio

enabling/disabling my video

Using zoom reactions

Using zoom chat box

Using zoom's annotate feature

This workshop includes three meeting times over the course of three weeks. This will be a very condensed version of the GGC curriculum with less time to practice the skills but enough time for professionals to gain an understanding of the curriculum.

Are there any sessions that you anticipate missing? *

None, I will be attending all 3 sessions!

Week 1

Week 2

Week 3

Are you requesting continuing education credits? (MCBAP, SCECH's, etc) If so please state below what credit's you are seeking.
*

How did you hear about GGC? (If referred by a past GGC participant, please put their name in the "other" option so we can thank them!)
*

Social Media

From my child's school

I was referred to the class

From my employer

Other:

Required

Send me a copy of my responses.

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