Fundamentals in Substance Misuse for Higher Education Training- November 2-day Registration

Please fill out this form if you would like to register for the in-person 2-day training. Individuals interested in attending the training must pre-register and attend both sessions in order to receive CEU credit. Attendants must participate through group work and activities as outlined in the training.

Address:
Lewis University
St. Charles Building 1
101 Airport Road
Romeoville, IL 60446

Name Name First Last
Phone Phone - ### - ### ####
Email
Name of affiliated Illinois college/university
Do any of these titles/positions pertain to you within your campus? Please select all that apply.

Do any of these titles/positions pertain to you within your campus? Please select all that apply. Health Service Director Health Education Director Law Enforcement/Security Clery Compliance Director Counseling Center Director Resident Life Director Financial Aid Director Senior Student Affairs Officer Student Standards/Conduct Athletic Director Fraternity/Sorority Life Director
Would you need CEU's for this training?
Please select the below dates/modules you plan to attend: *

Please select the below dates/modules you plan to attend: November 7th: 12-4:30pm November 8th: 8am-12pm
NOTE *

NOTE I understand that if I do not attend all of both sessions I will not receive any CEU credit.