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I am only registering for Understanding Domestic Violence: Essentials and Intersections. I understand it is a 4-day training and a prerequisite for all other trainings.

Please indicate which trainings you would prefer to attend. We will do our best to accommodate your preferences. Please see schedule for training dates and times.
CTI Core Trainings
1st Preference
Batterers Intervention Training* Children Exposed to Family Violence Doula Training Girl's Empowerment Parenting Understanding Men Who Batter and Abuse Women's Empowerment
2nd Preference
Batterers Intervention Training* Children Exposed to Family Violence Doula Training Girl's Empowerment Parenting Understanding Men Who Batter and Abuse Women's Empowerment
3rd Preference
Batterers Intervention Training* Children Exposed to Family Violence Doula Training Girl's Empowerment Parenting Understanding Men Who Batter and Abuse Women's Empowerment
CTI Professional Series
Please Select One
Child Sexual Abuse: A Workshop for Concerned Professionals A Deeper Look at Healing: Trauma and its Aftermath Working With Abusive Men All Three ($50 discount)
How do you plan to use the information, skills and training gained from attending CTI at your organization?
How would you rate your knowledge of domestic violence?
0 (no experience) 1 2 3 4 5 (Specialist)

Participant's Agreement Through my participation in these domestic violence trainings, I agree to attend all sessions of the training for the full time scheduled; to actively participate in discussions, exercises and supervision; to complete all homework and projects; and to become a Domestic Violence resource for my agency.
Name		Today's Date
By typing your name and today's date above, you are electronically signing this form.
Director/Supervisor’s Agreement
I agree to provide as much support to my staff as possible throughout the duration of the training and to pay the required materials fee in a timely manner.
Name		Today's Date
By typing your name and today's date above, you are electronically signing this form.
Please make materials fee payable to: CONNECT - (CTI) PO Box 20217 Greeley Square Station New York, NY10001-0006 Check or Money Orders only. Cash is not accepted. Materials fee is non-refundable.
*Please note: Understanding Men Who Batter and Abuse is a prerequisite for Batterers Intervention. Participants will not be qualified to run Batterer's Intervention Groups until completing both trainings, and required hours of group observation and supervision. We encourage agencies to register (1) male and (1) female for the Batterers Intervention trainings.

Download a text-only version of this form here, and fax to (212) 683-0016.