NYMHCA Licensure Exam Prep Workshop Presenters Info and Registration
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Name:
Titles/Credentials:
Licenses/Year Issued:
Work Setting(s):
Length of time in current work setting(s):
Teaching/Presenting Experience:
                                              
Available to give workshops (days/times/dates):
Location:
Willing to travel up to how many miles:
Will present to:  (check all that apply)
Any other info about you we need to know:
Best ways to contact you:  (Please give us your email address and at least 1 phone number)
Did you take the NYS licensure exam?
Would you be willing to give the exam prep workshop for an individual using Skype?
We will be holding a training for workshop presenters on Saturday, August, 28th at the Albany Marriott. Trainees will be responsible for their travel expenses and the only fee NYMHCA will charge will be $15 to cover coffee and lunch on that day.  The Marriott is extending to us their $99 a night rate for those who want to arrive the night before or stay over the night of the training.

The workshop training will be held from 9:30 am until 4 pm and there is room for only 25 participants.  Other opportunities for training will be announced at a later time.

Please note that because there will only be 25 spots open for this training and registrants will be taken on a first come, first serve basis.
Possible expenses for those taking the training:

-  Travel to Albany (gas, food, tolls, etc)
-  Hotel for one night $99 pus taxes, etc
-  Coffee/lunch at hotel - $15
-  NBCC Exam Study Guide - $44.95
-  DSM- IV - TR if you don't already own it.

NYMHCA will make the study guides available for purchase at the training.  Please come prepared with a check to reimburse us for the study guide and for the $15 for coffee/lunch.
If you intend to participate in the August 28th training please indicate that here and you will be contacted with further information:
Please note that only those counselors who have been licensed for 3 or more years will be eligible to be an exam prep workshop presenter.
One on One
Small Groups (2-5)
Large Groups (6-25)
Yes
Yes
No
No
Yes, I want to attend the 8/28 training.
No, I wil not attend but am interested in a future training opportunity.