Trauma-Informed Care Summit Registration- June 5, 2024
Thank you for your interest in the Trauma-Informed Care Summit! The summit will be held on June 5, 2024 from 8:30am - 4:00pm at the Garrett College Performing Arts Center. This year's keynote speaker is Amie Myrick, a Maryland Licensed Clinical Professional Counselor (LCPC), who specializes in working with traumatized populations and is an Adverse Childhood Experiences (ACE) Master Presenter. 

Seven Social Work CEUs are provided by AHEC West. Seven MSDE CEUs are provided by Garrett College. Please indicate on this registration form whether you need to obtain CEUs, and which type. If you do not wish to obtain CEUs, a certificate of completion will be provided to you. 

This training is provided at no cost to you and is sponsored by: Garrett County Local Behavioral Health Authority, Garrett County Local Management Board, MDH, and SAMHSA. 

If you have any questions, please contact Sadie Liller at sadie.liller@maryland.gov or (301) 334-7440. 
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Ethnicity *
Street Address (Home Address) *
City, State, Zip Code (Home Address) *
Residency *
Agency *
Job Title *
Phone Number *
The following CEUs are available:
-7 Social Work CEUs (provided by AHEC West)
-7 MSDE CEUs (provided by Garrett College)
Please indicate which of the following CEUs, if any, you would like to obtain. 

If you do not wish to obtain CEUs, you will receive a Certificate of Completion for this training. 
 *
I certify that the information given on this registration form is correct. Please sign your name. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of State of Maryland. Report Abuse
Google Forms