Training Program Registration
Please fill in all fields to ensure registration. Complete mailing address (e.g., floor, department, etc.) is needed to ensure Confirmation Letters reach you!

First Name
Last Name
MI
*Primary Work Setting (Please choose only one)
*Primary Occupation (Please choose only one)
Years in Current Occupation:
*Ethnicity (Please choose only one)
Hispanic or Latino
Non Hispanic and Non Latino
*Race (Please pick all that apply)
White
Black or African American
American Indian or Alaskan Native
Asian
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More than one race
Unknown/unreported
*Education Level
(Please pick the highest educational level completed)
Agency
Agency Address
City
State
Zip
Daytime Phone
Fax
Email Address
County most worked in
Mailing Address (if different from above)
City
State
Zip
Please indicate any accommodations needed (e.g. sign language, interpreter, large print materials, etc.):
Select Your Courses
Addressing Prevention in HIV-Positive Clients
(9am-5pm)
May 1, 2008 (Westchester)
Basic Information About Domestic Violence
(9am-5pm)
March 19, 2008 (Westchester)
CLOSED - REGISTER TO BE PUT ON OUR WAITING LIST
Building Bridges to Cultural Competency
(9am-5pm)

February 7, 2008 (Westchester)
Developing Skills for Enhanced Outreach
(9am-5pm)

June 2-3 & 9-10, 2008 (Westchester)

Enhancing the Partnership Between Client & Case Manager
(9am-5pm)
March 25, 2008 (Westchester)
HIV & STDs
(1pm-4pm)

January 23, 2008 (Westchester)
June 23, 2008 (Westchester)
HIV Counseling and Testing for Occupational Post Exposure Prophylaxis

June 26, 2008 (Westchester) Westchester Medical Center - Valhalla
**NOTE: DATE HAS BEEN CHANGED FROM JUNE 24 TO JUNE 26, 2008

HIV Disclosure: Deciding Who and When to Tell
(9am-12noon)

June 23, 2008 (Westchester)

HIV Testing in NYS: 2005 Guidance
(9am-12noon)
February 27, 2008 (Westchester)
April 23, 2008 (Orange)
HIV Testing: Skills Practice Session
(9am-5pm)

February 28, 2008 (Westchester)
April 24 , 2008 (Orange)

HIV Treatment Fraud
(9am-12noon)

June 18, 2008 (Westchester)

HIV/AIDS Confidentiality Law
(9am-12noon)

January 23, 2008 (Westchester)
March 6, 2008 (Westchester)
May 6, 2008 (Orange)

Introduction to Case Management
(9am-5pm)
March 24 , 2008 (Westchester)
It's Time: Integrate Viral Hepatitis Into Your Work
(9am-5pm)

April 8-9, 2008 (Westchester)

Mental Health Services: Ensuring Approriate Referrals for HIV-Positive Clients
(9am-5pm)

May 28-29 , 2008 (Westchester)
Overview of HIV Infection & AIDS
(9am-5pm)

January 29 , 2008 (Westchester)
February 21, 2008 (Westchester)
June 12, 2008 (Orange)

Reducing the Risk & Harm of HIV
(9am-5pm)
March 11-13, 2008 (Westchester)
Serving Families: From Assessments to Services Plans
(9am-5pm) & (9am-12:30pm)

March 31 & April 1, 2008 (Westchester)

Skills Practice and Implementation of Stage-Based Behavioral Counseling
(9am-5pm)

May 13-15 , 2008 (Westchester)

Tailoring HIV Counseling & Testing to the Unique Needs of Adolescents
(9am-5pm)

April 3 , 2008 (Westchester)

VOICES/VOCES Facilitator Training
(9am-5pm)

April 14-15 , 2008 (Westchester)

What's New in HIV/AIDS
(1pm-4pm)

March 6, 2008 (Westchester)
May 6, 2008 (Orange)
June 18, 2008 (Westchester)

IMPORTANT! ** HIV Testing Procedures requires supervisor’s justification of job responsibilities relevant to the course.
(Not required for physicians, dentists, or other clinicians.) The Supervisor must fax a note on letterhead stating “[Your Name] currently is, or will be, responsible for providing HIV Testing as part of his/her job.” to Fax: (914) 785-8331. This note must include the supervisor’s signature.

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