1 Start 2 Complete Contact Name * Contact Email * Agency/Organization * Job Title * Office Phone * Cell phone * Estimated start date for project or service (if known) Year Year20232024202520262027 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Training Categories * Leadership Training Foundations of Rehab Training Medical and Psychosocial Aspects Training Vocational Considerations Training Supervision in Counseling Training Other... Training Categories Other... Which Foundations of Rehab Training would you like to request? Select all that apply. Vocational Assessment Community Resources Case Management/Caseload Management Counseling & Guidance (Behavior Changes/Theories/Approaches) Assistive Technology Foundations for Rehabilitation Ethical Considerations Career Exploration Job Development Labor Market/Business Engagement Communication Strategies Motivational Interviewing (MI) Employment Rights under the ADA (Title I) Employer Responsibilities under the ADA (Title II) Accessible Documents If you do not see a training topic above that you'd like to request, please describe it here: Which Foundations of Rehab Training would you like to request? Select all that apply. If you do not see a training topic above that you'd like to request, please describe it here: Which Leadership Training would you like to request? Emerging Leaders Leading versus Managing Aspiring Leadership Creating a Culture Change Leading from Any Chair Transition Management If you do not see a training topic above that you'd like to request, please describe it here: Which Leadership Training would you like to request? If you do not see a training topic above that you'd like to request, please describe it here: What Medical and Psychosocial Aspects training would you like to request? Select all that apply * Depressive & Other Mood Disorders Anxiety Disorders Schizophrenia & Other Psychotic Disorders Personality Disorders (Cluster A) Personality Disorders (Cluster B) Personality Disorders (Cluster C) Blindness and Low Vision Traumatic Brain Injury Neuromuscular Disorders Physical Disorders - Chronic Pain Spinal Cord Injury Substance Use Disorder Alcohol Use Disorder Justice-Involved Individuals ADHD Autism Seizure Disorders Intellectual Disabilities Deaf and Hard of Hearing Other... What Medical and Psychosocial Aspects training would you like to request? Select all that apply Other... Which Vocational Considerations Training would you like to request? Select all that apply. * Depressive & Other Mood Disorders Anxiety Disorders Schizophrenia & Other Psychotic Disorders Personality Disorders (Cluster A) Personality Disorders (Cluster B) Personality Disorders (Cluster C) Blindness and Low Vision Traumatic Brain Injury Neuromuscular Disorders Physical Disorders - Chronic Pain Spinal Cord Injury Substance Use Disorder Alcohol Use Disorder Justice-Involved Individuals ADHD Autism Seizure Disorders Intellectual Disabilities Deaf and Hard of Hearing Other... Which Vocational Considerations Training would you like to request? Select all that apply. Other... Which Supervision in Counseling Training would you like to request? Select all that apply. What is Clinical Supervision Socially Just, Culturally Competent, and Critical Clinical Competency Characteristics of Effective Supervision Clinical Reasoning in Supervision Technology and Supervision The Role of the Supervisor in Ensuring Ethical Service Delivery Supervisor Self-Evaluation Supervisor Evaluation Designing Supervision Interventions to Strengthen Competencies The Process of Clinical Supervision Process of Supervision Phase 1 - Getting Started Process of Supervision Phase 2 - Settling In Process of Supervision Phase 3 - The Working Phase Life Long Learning and Supervisor Training Other... Which Supervision in Counseling Training would you like to request? Select all that apply. Other... If in-person training was selected above, please name the city and state of the training location Training delivery model/format * Live, in-person Live, webinar/virtual Live, hybrid - both in-person and virtual Recorded, on-demand Length of training * Estimated budget, if known. Otherwise, please write "unknown" * Size of audience * Audience demographics (managers, employees, directors, etc.) * Would you like professional credit? * Certified Rehab Counselor Credits (CRC) Letter of Attendance Challenge Coin None Other comments or details? Leave this field blank