1.Name

2.Preferred email address

3.CFMHE #

4.I attest that I have:

Successfully completed NBFE’s 8-hour "Suitability and Fitness for Duty Evaluation Workshop"

Successfully completed NBFE’s 1.5-hour on-demand webinar entitled "The Mental Health Professional's Role in Prevention and Mitigation of Police Violence and Burnout”

Successfully completed NBFE's NBFE’s 2-hour “Trauma, Compassion Fatigue, Resiliency, and Law Enforcement” webinar

Submitted proof of meeting the experiential requirement for the CSFDE credential at https://www.surveymonkey.com/r/CSFDE-Experience