iemhmarch2024

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Training: Introduction to Infant and Early Mental Health (Virtual) 
Course Hours: 6 hrs
Dates: March 6th, 13th & 20th, 2024
Location: Zoom

FOR INTERAL USE ONLY
Date: _____________________________
Cheque #: _________________________
Amount: __________________________
Initial #1: _______ Initial #2: ______

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Declaration

The following conditions apply to this PD form:

  1. The PD funds are not approved until the training has been completed, and hours have been confirmed.
  2. Prior to having fully completed the hours committed, there is no agreement between the parties, and the Alberta Home Visitation Network Association has no obligation to provide the PD funds.
  3. All information contained in this form is true and accurate.
FOIP Declaration:
All information provided by the parties will remain private and confidential.
Clear Signature
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