January - March Training Catalog

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Table of Contents January 1/5 A Wall is Not the Only Boundary: The 8 Dimensions of Boundaries . . . . . . . p.4 1/12 Treating Survivors of Female Genital Mutilation & Cutting: A Culturally Responsive & Trauma-Informed Approach. . . . . . . . . . . . . .p.4 1/14 Addiction & Trauma Recovery Through an Interpersonal Neurobiology Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p.5 1/25 Understanding Gender & Sexual Identities: A Training for Practitioners. . . . .p.5 1/28 Zen in America: Holistic Stress Management for Everyday Use. . . . . . . . . .p.6

Training Series Key

February 2/2 Reflecting on Privilege & Race in the Therapy Room & Beyond. . . . . . . . . .p.8 2/18 Solution-Focused Approaches with Challenging Clients . . . . . . . . . . . . . .p.8 2/23 The Social & Emotional Well-Being Impact of Social Media on Children & Families. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p.8

March 3/3 Why Race Matters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p.10 3/4 & 11 Psychopharmacology: The Basics & Beyond. . . . . . . . . . . . . . . . . p.10 3/17 Buried in Treasures: The Nature & Treatment of Hoarding Disorder . . . . . . p.11 3/25 Mindfulness Skills for Clinicians: How to Integrate the Power of Mindfulness into Your Clinical Practice . . . . p.11 3/30 Trauma Through the Lens of Attachment Theory. . . . . . . . . . . . . . . . . p.11 Expert Trainers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p. 12 Registration Policies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p. 16 Directions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p. 17 Registration Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p. 18 About the Consortium. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p. 20 COVID-19 Training Alert: At the Connecticut Women’s Consortium, the safety of our staff, participants, and trainers continues to be our number one priority. Given continued concerns over COVID-19 we are offering a mix of remote and on-site live training sessions. All training formats are noted within the catalog and during registration.

A couple of things to note: 1. Per the National Association of Social Workers - CT Chapter and the CT Department of Public Health, all virtual trainings count toward your in-person CEC requirement.

2. The town of Hamden has instituted a mask mandate, all in-person training registrants will be required to wear a mask in the building at all times, regardless of vaccination status. For more information about the Hamden mask mandate, please visit https://www.hamden.com/CivicAlerts.aspx?AID=377 3. If fewer than 15 people are signed up for an on-site training two weeks ahead of the training date, the training may convert to a virtual format or be cancelled. All participants will be notified of format/location changes within 10 days of the training start date.

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A Wall is Not the Only Boundary: The 8 Dimensions of Boundaries Anne Thompson, LPC Maureen Welch, LPC Through a multidimensional framework, we will examine the popular concept of boundaries, not just as barriers, but as parameters for safe and necessary vulnerability. This workshop will highlight several contexts for boundaries ranging from the psychotherapy office to social media memes and will consider the influence of gender on what makes a boundary safe and secure. The impact of transgenerational adverse childhood experiences ripple through individuals, interpersonal relationships, communities and systems of care; understanding how these boundaries are expressed is integral to lasting changes that empower and heal.

Date

Time

CECs

Series

Price

January 5, 2022

9am - 12pm

3 Credits

Clinical Skills

$60

Treating Survivors of Female Genital Mutilation & Cutting: A Culturally Responsive & Trauma-Informed Approach Jo Keogh In 2013, the Population Reference Bureau reported that over half a million women and girls in the United States had undergone or were at risk of female genital mutilation and cutting (FGM/C) procedures. That number was projected to rise in the decades ahead. Despite this alarming trend, many mental health providers are not familiar with FGM/C procedures or their outcomes. This training will provide a firm knowledge base around what FGM/C procedures entail and will address the physical, psychological, and psychosocial consequences of those procedures. Participants will also explore cultural perspectives on FGM/C and will discuss culturally responsive and trauma-informed approaches to treating clients who have undergone FGM/C procedures.

Date

Time

CECs

Series

Price

January 12, 2022

9am - 11am

2 Credits

Trauma Treatment

$50

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Addiction & Trauma Recovery Through an Interpersonal Neurobiology Perspective Anthony Nave, MA, LCSW Substance use and post-traumatic stress disorder (PTSD) are common co-morbid disorders. Often, the recovery process for each can feel daunting or complicated. With more research describing addiction as an attachment disorder and PTSD as a healing process, interpersonal neurobiology (IPNB) has come forward as a theory and practical working model that can help professionals work with clients struggling with these disorders. This course will discuss how to integrate an IPNB perspective with your current skill set to help clients navigate addiction and trauma recovery.

Date

Time

CECs

Series

Price

January 14, 2022

9am - 11am

2 Credits

Addiction & Recovery

$50

Understanding Gender & Sexual Identities: A Training for Practitioners Mara Gottlieb, PhD, LMSW This workshop provides participants with a clear understanding of sexual orientation, sexual identity, and gender identity. It is appropriate for participants with any level of gender and sexuality knowledge, and will present a straightforward, accessible, open discussion with opportunities for questions. The course overview of accurate terminology, myths and facts, and other information will help practitioners confidently and respectfully address sexual and gender identity with clients.

Please note this workshop has been retitled from LGBTQIA...SOS! Differentiating and Demystifying Gender and Sexual Identity

Date

Time

CECs

Series

Price

January 25, 2022

9am - 12pm

3 Credits

Cultural Competence

$60

“If we don’t change, we don’t grow.

If we don’t grow, we aren’t really living.”

Gail Sheehy T h e C o n n e c t i c u t Wo m e n ’s C o n s o r t i u m

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Zen in America: Holistic Stress Management for Everyday Use Alicia Feller, LCSW According to a 2017 Gallup Poll, 79% of Americans say they feel stress sometimes or frequently throughout their day. The World Health Organization has called stress the “health epidemic of the 21st century.” The purpose of this presentation is to define the different types of stress; understand its impact on the mind, body, and spirit; and introduce some holistic stress management techniques one can use to reduce stress.

Date

Time

CECs

Series

Price

January 28, 2022

9am - 12pm

3 Credits

Healing Arts

$60

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September

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Reflecting on Privilege & Race in the Therapy Room & Beyond Viana Turcios-Cotto, PhD An understanding of privilege, race, and ethnicity is important in therapeutic work. This introductory workshop briefly reviews the history of race in the United States, explains ideas of institutionalized racism and privilege (including but not limited to White privilege), and discusses how these constructs affect us in our roles as therapists and clinical supervisors. We will use an assessment tool to examine our own privilege while learning about motivating resources in the therapy room and beyond.

Date

Time

CECs

Series

Price

February 2, 2022

9am - 12pm

3 Credits

Cultural Competence

$60

Solution-Focused Approaches with Challenging Clients Don Scherling, PsyD Solution-focused approaches that build on a client, family, agency, or community’s strengths are proving more powerful in encouraging change than traditional problem-focused methods of assessment and treatment. This course will provide a basic introduction to the theoretical foundation and treatment methods of a solution-focused approach while encouraging participants to adapt and apply the model in their thinking and work.

Date

Time

CECs

Series

Price

February 18, 2022

9am - 4pm

6 Credits

Clinical Skills

$90

The Social & Emotional Well-Being Impact of Social Media on Children & Families Welcome2Reality This training will increase participants’ ability to respond to the vulnerabilities of children and families who use social media. This training provides realistic, cost-effective strategies that can be immediately implemented by social workers, educators, and caregivers to identify risks and protect youth. Participants will be able to gather information, share experiences, and utilize self-assessment and practice skills.

Date

Time

CECs

Series

Price

February 23, 2022

9am - 12pm

3 Credits

Children & Families

$60

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October

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Why Race Matters Daryl McGraw Michael Chadukiewicz, PhD This full-day workshop explores the history of race and racism with a focus on how that history shapes our identities, power structures, and institutions. Participants will review music, advertising, comedy, poetry, and literature while examining the bias, prejudice, and racism prevalent in our society. The facilitators will share their experiences with racism and offer strategies to unmask, dismantle, and eradicate racism in personal, inter-personal, institutional, and cultural realms.

Date

Time

CECs

Series

Price

March 3, 2022

9am - 4pm

6 Credits

Cultural Competence

$100

Psychopharmacology: The Basics & Beyond Peter Tolisano, PsyD, ABPP Please note this is a 2-day training. You must attend both days to receive credit.

This course includes an overview presentation to help participants better understand the usages of psychotropic medications. The instructor provides a particular focus on administering psychotropic medications with special populations (i.e., individuals with developmental disabilities, the elderly). The program content centers on understanding terminology, learning basic brain chemistry and mechanisms of action for medications, classes of psychotropics, specific utilization of medications, side effect profiles, ways to reduce polypharmacy, and methods to consult with psychiatric prescribers.

Date

Time

CECs

Series

Price

March 4 & 11, 2022

9am - 12pm

6 Credits

Clinical Skills

$90

“Life is very interesting… in the end, some of your greatest pains, become your greatest strengths.”

Drew Barrymore

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Buried in Treasures: The Nature & Treatment of Hoarding Disorder David Tolin, PhD, ABPP The aim of this workshop is to familiarize participants with hoarding disorder, a common and potentially severe mental health problem. Characterized by acquisition of, and failure to discard, a large number of possessions to the extent that living spaces become uninhabitable, hoarding disorder affects many. We will review emerging data investigating the nature of hoarding, associated mental health features, and new research findings regarding brain function in people who hoard.

Date

Time

CECs

Series

Price

March 17, 2022

9am - 4pm

6 Credits

Clinical Skills

$100

Mindfulness Skills for Clinicians: How to Integrate the Power of Mindfulness into Your Clinical Practice Tracey Meyers, PsyD This workshop is designed for mental health clinicians who want to learn how to use the powerful tools of mindfulness clinically and in their own lives. Participants will gain the confidence and knowledge to tailor mindfulness techniques to their and their clients’ needs. Specific mindfulness tools for mental health conditions such as depression, anxiety, PTSD, and schizophrenia will be reviewed.

Date

Time

CECs

Series

Price

March 25, 2022

9am - 12pm

3 Credits

Healing Arts

$60

Trauma Through the Lens of Attachment Theory Edwin Renaud, LCSW, PhD This presentation will review the basic concepts of attachment theory, its most common classification schemes, and leading contemporary ideas on how attachment contributes to our capacity to interpret our social environment and regulate our feelings. We will discuss how traumatic stress can disrupt normative attachment dynamics and present in ways that resemble mood, anxiety, and personality disturbance. Finally, we will discuss ways to use attachment theory approaches to engage and sustain a treatment alliance with traumatized clients.

Date

Time

CECs

Series

Price

March 30, 2022

9am - 12pm

3 Credits

Trauma Treatment

$60

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E x p e r t Tra i n e rs Michael Chadukiewicz is a facilitator and coach who works with various organizations seeking to build cohesive teams, improve interpersonal communication, implement and manage change, and transform organizational culture. He is a PhD candidate at Nova Southeastern University studying conflict in organizations, schools, and healthcare. He is an Affiliate Researcher with Yale Program for Recovery and Community Health where he researches our nation’s food systems relationship with a wide array of social justice issues including addiction, mental health, racism, sexism, classism, neoliberalism, and globalism. Michael’s practice is informed by 28 years in long term recovery.

Alicia Feller specializes in holistic stress management which compliments her 25+ years of experience as a clinical social worker in the behavioral health field. She enjoys working with people to help them develop a mastery over their well-being utilizing empathy, empowerment and mind-body-spirit connection as cornerstones of her approach. Alicia is a certified hypnotherapist. She holds a masters degree in Integrated Health and Healing and is a certified Holistic Stress Management Instructor. She is a certified Acudetox Specialist. Alicia lives her practice and relishes the time she spends with family and friends. She believes that one grows the most when they step outside of their comfort zone.

Dr. Mara Gottlieb is the President of Talking Changes, an anti-oppression and biasawareness consulting firm. For over twenty years, she has run workshops across the country, including serving as a keynote speaker and presenting at NASW conferences.

She was the grateful recipient of the CT NASW “Distinguished Achievement” award in 2017. Her programs address subjects ranging from cultural humility to LGBTQ awareness, teen suicide prevention, and vicarious trauma. Dr. Gottlieb has served as an adjunct professor at the NYU Silver School of Social Work, Smith College School for Social Work, and Southern Connecticut State University. She earned her MSW in 1997 and her PhD in Social Work in 2014.

Jo Keogh has been utilizing somatic approaches to treat female trauma survivors since 2014. She is currently completing her internship in Clinical Mental Health Counseling at Anna Haven Behavioral Health services, where she specializes in treating adult survivors of child sexual abuse, sexual assault, rape, and domestic violence. Jo is a founding member of the CT Coalition to End female genital mutilation cutting and an advisory board member of Sahiyo-United Against Female Genital Cutting.

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Daryl McGraw is the CEO of Formerly Inc., Connecticut’s first criminal justice consultant agency that is uniquely staffed by formerly incarcerated individuals who seek to assist and support those impacted by the criminal justice system. With over ten years of personal and professional experience with urban trauma, addiction recovery and community reintegration; Mr. McGraw is highly regarded as an expert in the field. He is a dynamic speaker delivering speeches, webinars, and trainings that support the recovery and reintegration process. Mr. McGraw holds state certifications as an Addictions Counselor, Recovery Support Specialist, and a Criminal Justice Professional. He holds a Bachelor’s Degree in Human Services and a Master’s Degree in Organizational Management and Leadership, both from Springfield College. Prior to entering the human service field, Mr. McGraw held several leadership positions in the hospitality field working for Fortune 500 companies. His transformative work on behalf of battling addiction and overcoming obstacles facing formerly incarcerated persons upon their release is truly inspiring.

Tracey Meyers is a licensed clinical psychologist with expertise in neuropsychological assessment, psychotherapy including trauma-informed therapies, and positive behavioral planning. In addition, Tracey has extensive training in integrative medicine modalities to support optimal mental health. She is an advanced yoga instructor and C-IAYT yoga therapist. She is certified to teach MBSR, iRest, and Breath-Body-Mind. She lectures across the country and internationally on different integrative medicine topics for healing. She authored several publications and book chapters around holistic behavioral treatment for mental health conditions. She has an upcoming book for mental health professionals and yoga therapists, Transformational Healing through Yin Yoga Therapy (due out in 2021 – Singing Dragon). Tracey is an assistant clinical professor at Yale University Department of Psychiatry, and adjunct faculty member at University of Hartford Graduate School of Professional Psychology in Hartford, CT and Maryland University of Integrative Health.

Anthony Nave, LCSW, holds master’s degrees in educational psychology and clinical social work. He is advanced certified in Eye Movement Desensitization and Reprocessing (EMDR) and is an EMDR Consultant. He is also experienced in medication-assisted treatment, co-occurring disorders, and adolescent programming. Prior to joining Mountainside, he taught in an alternative therapeutic school, helping youth with mental health and cognitive disorders. At Mountainside, he currently directs outpatient locations in the New England area and telehealth services, designs curriculums for clinical programming, and incorporates interpersonal neurobiology and a trauma-responsive framework into treatment and supervision.

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Edwin Renaud, LCSW, PhD, began his career at the Veterans Administration and has worked with survivors of trauma for over twenty years. He has published on the topics of attachment characteristics in combat veterans and working with trauma survivors in forensic settings. He is currently the Director of Social Work and Multicultural Services at Connecticut Valley Hospital.

Don Scherling, PsyD, is a Senior Clinical Consultant, Health Educator, Behavioral Health Wellness Coach, assistant in the Care for Caregivers Yoga program, and a Clinical Faculty member in the Berkshire Medical Center - Department of Psychiatry & Behavioral Sciences in Pittsfield, MA. He is a QPR and SPRC certified trainer and a Senior Clinical Consultant and Trainer with SAMHSA/CSAT, the CT Department of Mental Health & Addiction Services, and other regional and statewide agencies in the Northeast.

Anne Thompson, LPC is part of Therapy and Wellness for Women, a private practice in central Connecticut devoted to gender-informed and trauma-specific treatment for female experiences of trauma. Anne has advanced training in working with the spectrum of trauma-related disorders from single incident PTSD to complex trauma and dissociative disorders and is trained in Eye Movement Desensitization and Reprocessing Therapy (EMDR) and Ego State Therapy. In her previous role as Associate Director at Wheeler Clinic, Anne was active in leading trainings on the Trauma and Gender Initiative (TAG); in collaborative documentation; and Hazelden’s Co-occurring Disorders Program. Anne provides supervision to psychotherapists and professional counselors seeking licensure.

Dr. David Tolin is the Founder and Director of the Anxiety Disorders Center at the Institute of Living, and an Adjunct Professor of Psychiatry at Yale University School of Medicine. He is the President-Elect of the Association for Behavioral and Cognitive Therapies, the Past-President of the Clinical Psychology Division of the American Psychological Association, and a principal investigator for the National Institutes of Health. He received the Award for Lifetime Contribution to Psychology from the Connecticut Psychological Association. Dr. Tolin is the author of over 150 scientific journal articles, as well as the books Doing CBT: A Comprehensive Guide to Working with Behaviors, Thoughts, and Emotions, Buried in Treasures: Help for Compulsive Acquiring, Saving, and Hoarding, and The Big Book of Exposures: Innovative, Creative, and Effective CBT-Based Exposures for Treating Anxiety-Related Disorders. Dr. Tolin has been featured on the reality TV series Hoarders and The OCD Project, and has been a recurrent guest on The Oprah Winfrey Show and The Dr. Oz Show.

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Dr. Peter Tolisano is a board-certified clinical psychologist and has been the statewide Director of Psychological Services, Office of the Commissioner, for the Connecticut Department of Developmental Services, since 2013. His various responsibilities include overseeing the mental health and behavioral needs of individuals served by his agency. He interfaces with national entities and other state agencies (i.e., DCF, DMHAS, SDE, DSS, and OCA) in his consultations, which often relate to positive behavioral supports. Dr. Tolisano also maintains a private practice in the Greater Hartford area that focuses on the provision of psychodynamic psychotherapy and EMDR for trauma recovery.

Viana Turcios-Cotto, PhD, is a Licensed Clinical Psychologist, with subspecialties in child and adolescent psychology and health psychology. She currently maintains a private practice in West Hartford of highly diverse clients from early childhood through the elderly years. Dr. Turcios-Cotto also consults and presents on implementing traumainformed practices in schools and mental health settings, as well as cultural competency in clinical work.

Maureen Welch is an EMDRIA Certified Clinician and Consultant-in-Training. Maureen’s practice is informed by her background in feminist and queertheory. Her most rewarding experiences as a therapist are working with clients to increase their assertiveness and foster a greater sense of control over their lives. She lives in an Intentional Community in Hartford, CT.

Welcome 2 Reality, LLC, is a Connecticut based company who provides a variety of services to children and families. We are committed to raising awareness of media literacy by educating and empowering individuals of how to use critical thinking skills to see these mediums for what they truly are.

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Re g i st ra t i o n Po l i c i e s Always check www.womensconsortium.org for the most up to date information. Some special events may have different registration policies or credits. By registering you agree to our registration and privacy policies.

If You are Registering with a Purchase Order Fax your 1) registration form and 2) a copy of the approved purchase order from your organization to (203) 9096894. A copy of the purchase order must be sent as proof of future payment. Without this document, you will not ensure your space in the event. Credits will only be issued when a purchase order has been paid in full.

To Register by Mail Complete the form on page 18 and mail with a check or money order. There is a $25 bank & handling fee for all returned checks. Failure to pay this fee will prevent you from registering for future courses. Checks and purchase orders are payable to The Connecticut Women’s Consortium and can be sent to ATTN: Education & Training, 2321 Whitney Avenue, Suite 401, Hamden, CT 06518 Waitlist and Sold Out Courses For workshops that are sold out, call to determine if a waitlist is available.

How do I get My Certificate or Credits?

Within 3 business days after the training (this may be longer for offsite events and conferences), you will receive an email with instructions to access the online survey and certificate. If you have trouble accessing these items, please email training@womensconsortium.org or call us at (203)909-6888 x2.

Forget to Sign In or Out? Arriving Late or Leaving Early? You Will Not Get Credits Sign-in begins 30 minutes before each event. You are required to sign in and out, before and after the training to receive credit. In accordance with accreditation standards, continuing education hours are only given to those individuals who have completed the entire workshop. Partial credit is not given. If you arrive 30 minutes after the start of the event or leave during the event for any reason you will not receive credits.

EMERGENCIES & CANCELLATIONS If You Cannot Attend a Workshop As of January 1st, 2020, The Connecticut Women’s Consortium will no longer offer credit on account for training cancellations. You must cancel your registration a minimum of 2 business days before the training start date in order to receive a refund minus a 25% administration fee. Alternatively, you may transfer into another course of your choosing until 9am on the training day.

What Happens During Inclement Weather or if a Workshop is Cancelled In the event of inclement weather, call (203) 909-6888 x1 the morning of your workshop. This is a recorded voice message that is updated with a weather delay or cancellation. We also post a message at www.womensconsortium.org. The CWC reserves the right to cancel a program at any time. This may include weather, venue/staff emergencies or low attendance. In the event of a cancellation, we will contact you by email with a rescheduled date, or offer a credit or refund.

AVAILABLE CERTIFICATES & CREDITS Certificates of Attendance are available to all attendees who have signed in/out.

Social Workers, Therapists, Counselors, and Psychologists National Association of Social Workers Connecticut Chapter (CECs) are accepted in the states of MA, RI, VT, and NJ. Check with your state board to see if they offer reciprocity. These credits are applicable to Licensed Clinical Social Workers (LCSW), Licensed Master Social Worker (LMSW), Licensed Marriage & Family Therapists (LMFT), Licensed Professional Counselors (LPC), and Licensed Clinical Psychologists.

Alcohol and Drug Abuse Counselors Connecticut Certification Board CECs are applicable to Licensed Alcohol & Drug Abuse Counselors (LADC) & Certified Addiction Counselors (CAC).The Association of Addiction Professionals (NAADAC) & National International Certification and Reciprocity Consortium (IC&RC) are covered under CCB-CT Credits.

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Accommodation and Access

Food & Dietary Restrictions Please identify any dietary restrictions when prompted during the registration process. We can easily accommodate for vegan, nut, gluten and dairy free diets. If you have additional concerns about serious allergies, contact us in advance to ensure we can make accommodations.

Accessibility Please identify any accessibility requests when prompted during the registration process. The CWC office is wheelchair accessible; offsite event accessibility is coordinated with the venue, please call with any questions or concerns. Be sure to confirm all accessibility requests a minimum of 1 month in advance so we can ensure access.

Nursing Mothers, Children (18 & Under) For nursing accommodations, please ask staff for use of the wellness room or call ahead to learn more. Our educational events may contain sensitive topics including abuse, mental health, and addiction. It is the responsibility of the parent or guardian to review the topics suitability. If we are concerned we may restrict access to individuals under 18 or recommend another event.

Photos, Recording & Social Media If you post on social media regarding an event, tag The Connecticut Women’s Consortium. We recommend that you follow a trauma-informed safety policy by asking individuals and groups before taking and sharing photos and posts. We reserve the right to photograph, record, or film classes, events and other programming. If you do not want to be included, notify a CWC staff member. Learn more through the privacy policy on our website.

Directions

From the South, Bridgeport Area

Take 15 North Take Exit 61 Turn right off ramp, onto Whitney Avenue Half a block is a sign for Hamden Centre Turn right into driveway before this sign

From the east, New London area Take 95 South to 91 North From 91, Take Exit 10 You are now on a connector Take Exit 1 off of the ramp, Turn left onto Devine St Turn left onto Hartford Turnpike Then turn right onto Dixwell Avenue Turn left At the 3rd stoplight into the driveway (before KinderCare)

From the North, Hartford area

Take 91 South to Exit 17 On exit ramp, stay left for 15 South From 15, take Exit 62 At end of ramp, turn right on to Whitney Ave Half a block is a sign for Hamden Centre Turn right into driveway before this sign

Nearby Transportation & Hotel Information Clarion Hotel & Suites, 2660 Whitney Avenue, Hamden, CT Tweed or Bradley Airports or NYC Airports (JFK, LaGuardia) Union Station - Metro North, Amtrack & Greyhound Bus CT Transit - we are located on the bus line: (J Bus - Whitney Avenue, Centerville Whitney & Dixwell stops) Metro Taxi - (203) 777-7777 or Uber/Lyft

Parking

All visitors must park in the FREE parking garage to the right of our building. With the exception of handicap spaces, parking in front of the building is for retail businesses.

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Registration Form

PARTICIPANT INFORMATION

(Applications must legible and complete to be processed.) *First Name

*Last Name

Middle Initial No Agency/Private Practice/Retired

*Agency Name *Agency Address Street: Street (2): City: State:

Zip Code:

*Phone number (please check your preferred phone number) Work:

Cell Phone:

Home Phone

*E-mail address (e-mail address is required to process all registrations, please check your preferred e-mail address) Business:

Personal:

Please check the dietary restrictions that apply (these pertain to full-day trainings only) none

Please check any special accomodation requests none

vegan/vegetarian other allergy

dairy free

hard of hearing, interpreter required

gluten free BILLING INFORMATION Street: Street (2): City:

other

visual aid required

same as above

State:

Zip Code:

CERTIFICATE INFORMATION All of our trainings include a CEC certificate for those who attend in full. CECs are approved by NASW/CT (National Association of Social Workers) and CCB (CT Certification Board).

TRAINING Training Title:

Date(s):

Course fee:

Registration will not be processed without payment or purchase order

If you’re registering with an agency purchase order or check request form, please send this form along with a copy of the purchase order to: CT Women’s Consortium to reserve your spot. Fax: (203) 909-6894 If you are paying by check: Please mail this form along with your check to: CT Women’s Consortium Training Department 2321 Whitney Ave, Suite 401 Hamden,CT 06518 By submitting this form you agree to our cancellation policy available at www.womensconsortium.org

For consortium use only Invoice #:

Check number:

Agency

Personal

Registration Confirmed:

Date payment recieved:

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We Can Bring the Trainings to You!

PRIVATE TRAINING

For more information contact: Shannon Perkins, Director of Education and Training,

At The Connecticut Women’s Consortium, we strive to provide quality continuing education for behavioral health professionals. We understand that it can be difficult to give multiple staff members time off to attend a training off-site; thus, we offer a variety of private training options and topics that we can bring directly to your organization. We can offer virtually any training you see in our training catalog on a private basis. If you don’t see what you are looking for there, feel free to reach out and we can create a custom training to fit your needs.

sperkins@womensconsortium.org or (203) 909-6888 x17

ONLINE COURSES EARN CREDITS AT YOUR LEISURE! Continuing education credits become available for online courses once you have completed both the online quiz and evaluation.

Visit www.womensconsortium.org for more information on online course credits and policies.

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