Centralized Training Registration Form

Dignity of Children, Inc Online Registration

Welcome!
Please fill out this online registration form. We will contact you within 24 business hours. Thank you.

Development with Dignity™
2012 Centralized Training
...where individual staff can obtain 15 hours of training,
meeting all 8 topic areas for Office of Children & Family Services (OCFS) SACC 414.14.

3 full-days of workshops from 9:00am-2:00pm. $220/staff per cycle

CYCLE I
Meets All 8 OCFS Topics (15 Hours)

Day 1:
Developmental Needs (OCFS Topics 1 & 3);

Office of Children & Family Services
SACC 414 Regulations (OCFS Topics 5 & 7)

Day 2:
Child Abuse Identification & Reporting (OCFS Topics 6 & 8);
Partnership with Parents (OCFS Topic 4)

Day 3:

Safety, Health & Nutrition (OCFS Topics 2, 4 & 7)
Classroom Management (OCFS Topics 1 & 3)

CYCLE II
(Additional 15 Hours)

Day 1:
Coaching and Guiding Behavior (OCFS Topics 1 & 3)

Day 2:
Curriculum Development (Project based Learning) (OCFS Topics 1, 3 & 5)

Day 3:
Teaching Children Responsibility (OCFS Topics 1 & 3)

	Tuesdays: May 1st, 8th & 15th 2012
CT Cycle I

	Thursdays: May 17th, 24th & 31st 2012
CT Cycle II

Location: 2340 Fifth Avenue, New York, NY 10037

**We ask that all attendees bring or purchase their own lunch.

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Each Attendee Will Receive:
A Certificate of Completion Meeting OCFS Requirements

**PRE-REGISTRATION IS REQUIRED

Registration

* Program

* Program Phone Number

Program Fax

Organization to be billed

Participant

* Address Line 1

Address Line 2

* City

* State

* Zip Code

Contact Person Information

* First Name

* Last Name

* Position

* Phone Number

* Email Address

Payment: Please make appropriate arrangements in your organization to process check payment BEFORE the 1^st day of training.

* Please check all the boxes below in order to submit this form. Thank you.

	*I agree to follow through with this registration.
	*I understand that my PAYMENT MUST BE RECEIVED IN FULL, TEN (10) BUSINESS DAYS BEFORE THE 1st DAY OF TRAINING IN ORDER TO BE CONFIRMED AS A PARTICIPANT IN THE TRAINING.

You are done! Receiving an invoice from us within two (2) business days after submitting your registration is confirmation that your registration has been successfully processed. For more information please feel free to contact us.

www.dignityofchildren.com
info@dignityofchildren.com
Phone: 646-639-7711
Fax: 877-738-9786

* Indicates Response Required