WV DHHR - OMCFH - WV Birth to Three - Training Registration 2007

Submission Form

WV Birth to Three

On-Line Training Registration Form

Last Updated: October 09, 2012

NOTE: PLEASE VIEW THE TRAINING CALENDAR BEFORE YOU REGISTER FOR TRAINING TO MAKE SURE THE TRAINING HAS NOT BEEN CANCELLED OR CLOSED

Directions to Training Locations

Click here to view or print a schedule for each training offered

The West Virginia Birth To Three System offers training and technical assistance opportunities to support continuing education and further skill development. Trainings are offered regionally and at no charge to participants. Listed below are current training and technical assistance opportunities for interested participants.

Please select the date and location for the training you wish to attend from the drop down menus. Each training begins at 9:00am with registration between 8:30 am and 9:00 am, with the exception of the Transition training which begins at 1:00 pm. Please see the training/meeting descriptions for information about content, requirements, and prerequisites. Lunch will be on your own.

Individuals enrolling in the West Virginia Birth To Three System to provide direct services or service coordination must complete the one-day Orientation to WV Birth to Three prior to enrollment. Individuals enrolling as Service Coordinators in the WV Birth To Three System must also complete the two-day Introduction to Service Coordination training prior to enrollment.

To confirm that you are registered for a specific training, please view the Alphabetical Participant Listing.

You will receive a confirmation by email for selected training. If you are unable to attend the training you selected, please notify Connie Armistead at Connie.S.Armistead@wv.gov.

IMPORTANT: Please contact us immediately if you find you will not be able to attend the training session you have requested. "NO-SHOWS" may be prevented from reserving training sessions in the future.

Please complete all fields. In the event a training is cancelled or changed, we will need to be able to contact you via email or phone.

First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:
Email:
Phone:
Fax:

Name of Training (Please check on the training of your choice for a detailed description	Participants must attend the entire training to obtain a certificate of completion
Assistive Technology for Infants (9:00 am - 4:00 pm)
Autism (1:00 pm - 4:00 pm)
CAPTA (9:00 am - 12:00 pm)
Child Outcome Summary Form (COSF) (1:00pm - 4:00pm)
Orientation to WV Birth to Three (9:00am-12:00pm)
Principles of Practice (9:00 am - 4:00 pm)
Team Facilitation (9:00 am - 4:00 pm)
Transition (9:00 am - 12:00 pm)

If you are experiencing any difficulty with the submission of this form, please contact dhhrwvbtt@wv.gov.

Please indicate the discipline under which you plan to enroll or are currently enrolled:
	Administrator	Nutritionist		Psychologist
	Audiologist	Occupational Therapist		School Psychologist
	Counselor	Occupational Therapy Assistant		Service Coordinator
	Developmental Specialist	Orientation/Mobility Specialist		Social Worker
	Family Member	Parent Partner		Special Educator
	Interim/Intake Service Coordinator	Physical Therapist		Speech and Language Pathology
	Interpreter	Physical Therapy Assistant		Vision Specialist
	Nurse	Physician Assistant	Other:
Please indicate any accommodation(s) needed such as alternative formats or interpreter: