Fundamentals in Substance Misuse for Higher Education Training- October Series

Please fill out this form if you would like to register for the October 2024 training. Individuals interested in attending the training must pre-register and attend all 3 sessions in order to receive CEU credit. Attendants must participate through Zoom.

Name Name First Last
Phone Phone - ### - ### ####
Email
Name of affiliated Illinois college/university
Do any of these titles/positions pertain to you within your campus? Please select all that apply.

Do any of these titles/positions pertain to you within your campus? Please select all that apply. Health Service Director Health Education Director Law Enforcement/Security Clery Compliance Director Counseling Center Director Resident Life Director Financial Aid Director Senior Student Affairs Officer Student Standards/Conduct Athletic Director Fraternity/Sorority Life Director
Would you need CEU's for this training?
Please select the below dates/modules you plan to attend: *

Please select the below dates/modules you plan to attend: August 6th 9am-12pm: Module 1 August 9th 9am-12pm: Module 2 August 14th 9am-12pm: Module 3
NOTE *

NOTE I understand that if I do not attend all 3 sessions I will not receive any CEU credit.