Homeless Youth Conference Registration Homeless Youth ConferenceHoly Cross College, Worcester10/24/129:00 AM to 3:30 PM (registration begins at 8:15 AM)To register for the conference, please fill in the following information. Question Title 1. Personal Information NAME: AGENCY: EMAIL ADDRESS: PHONE NUMBER: Question Title 2. Continuing Education Credits have been applied for, if approved CEUs will be available for Social Work and LMHC. Please select one the following: Social Work LMHC N/A Question Title 3. Please rank the workshops in order of preference (descriptions on flyer). We will try to accomodate your first choice, but please note this may not be possible in all cases and workshops will be assigned on a first come first serve basis. You will be notifed of your workshop choice the day of the training. 1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice The Impact of Transitional Living Programs The Impact of Transitional Living Programs 1st Choice The Impact of Transitional Living Programs 2nd Choice The Impact of Transitional Living Programs 3rd Choice The Impact of Transitional Living Programs 4th Choice The Impact of Transitional Living Programs 5th Choice Employment, Skills and Development Employment, Skills and Development 1st Choice Employment, Skills and Development 2nd Choice Employment, Skills and Development 3rd Choice Employment, Skills and Development 4th Choice Employment, Skills and Development 5th Choice DMH Community Bases Flexible Supports Serving Youth DMH Community Bases Flexible Supports Serving Youth 1st Choice DMH Community Bases Flexible Supports Serving Youth 2nd Choice DMH Community Bases Flexible Supports Serving Youth 3rd Choice DMH Community Bases Flexible Supports Serving Youth 4th Choice DMH Community Bases Flexible Supports Serving Youth 5th Choice Permanent Supportive Housing Permanent Supportive Housing 1st Choice Permanent Supportive Housing 2nd Choice Permanent Supportive Housing 3rd Choice Permanent Supportive Housing 4th Choice Permanent Supportive Housing 5th Choice Prevention Prevention 1st Choice Prevention 2nd Choice Prevention 3rd Choice Prevention 4th Choice Prevention 5th Choice Question Title 4. Do you need a special accomondation to fully participate in this conference? If yes, please specify in the box below. Yes No Please Specify: If you have additional questions please email COStaffDev@massmail.state.ma.us. Done