Please fill out the following to begin registering for Emergency Response Training Events
Name
*
First Name
Last Name
Email
*
example@example.com
Name of Organization
*
Please Enter Your TN Pal # if applicable
In order to receive licensure hours for this training, a TN Pal # must be entered. This requirement is due to TrainTN and TAM data collection needs through the State of Tennessee.
Do you require accommodations to participate in this online training format?
*
Yes
No
Please select any and all accommodations you may need to participate in this training. If the accommodation you need is not listed, please select other and describe what you are requesting.
*
Captions
Accessible Presentation Materials
Language Interpretation
Sign Language Interpretation
Language Translated Materials
Other
Demographics
Gender
*
Please Select
Male
Female
Other
Decline to Respond
Race/Ethnicity
*
White
Black
African American
American Indian
Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Decline to Respond
Other
Please Select the Following Sectors that Describe Your Work:
*
Child Care Provider
Home Visitor
Early Intervention
Child Welfare
Early Educator
Safe Baby Court
Director/ Supervisor
Mental Health Clinician
Higher Education
Head Start
State Department Staff
CCR&R/Signal Centers
Foster Care
TCCY
Foster Parent
Birth Worker, Midwife, Doula, Hospital Staff
TECTA
System Advocacy
Other
Are you currently Endorsed by AIMHITN for Infant Mental Health or Early Childhood Education?
Please Select
Yes, I am Endorsed!
I am in the process.
No, but I would like to learn more about Endorsement.
Not Interested
Are you currently a Member of AIMHiTN?
Please Select
Yes, I am a Member!
No, but I would like to learn more about being a Member!
I have no clue.
Not Interested
Have you attended AIMHiTN trainings before?
Please Select
No, this is my first time.
Yes, I have been to a few.
Yes, I attend them frequently.
Not Applicable
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April - AIMHiTN Emergency Response Training
Select here to register for April Emergency Response Training.
*April - Select the blue time button to register and receive a reminder email.
*
May - AIMHiTN Emergency Response Training
Select here to register for May Emergency Response Training.
*May - Select the blue time button to register and receive a reminder email.
*
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