Mid-ATTC Home > Education > Motivational Interviewing > Registration Form

Mid-Atlantic ATTC
Online Course Registration Form

Course Title:
Motivational Interviewing for Supervisors

 

Full Name
Address
City
State
Zip
Country
Email Address
Daytime Phone Number

Describe coursework you have taken in supervision and indicate that you have at least 2 years experience as a clinical supervisor:



*In order to complete your registration you must mail or fax documentation of at least 12 hours of Motivational Interviewing clinical skills training in a face to face format to:

Mid-Atlantic ATTC
P.O. Box 980469
Richmond, VA 23298-0469

How did you hear about this course?
	ATTC KNOw Notes
	Mid-Atlantic ATTC Announcement Listserv
	Access Ed website
	Other

Please check if you would like NBCC credit for this course.

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