2024 Housing Works Training Attestation Form

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Participation Statement*

DBT in a Nutshell: Treating Multi-Diagnostic, Complex Individuals with Ashley Maliken, PhD, DBT-LBC on September 6th, 20th and October 18th, 2024 from 1:00pm-5:00pm ET.

Diving into DBT Skills with Ashley Maliken, PhD, DBT-LBC on October 25th, November 1st, and 22nd, 2024 from 1:00pm-5:00pm ET.

DBT for People with Substance Use Disorders with Pam Buck, PhD, DBT-LBC on December 6th, 2024 from 1:00pm-5:00pm ET.

Consult Team & Skills Group Basics with Ashley Maliken, PhD, DBT-LBC on December 20th, 2024 from 1:00pm-5:00pm ET.

I participated in the entirety of all events checked above. Please accept this signed form as verification.

Name

First Last

Profession/Discipline:

On the line below, please enter your full name and licensure, EXACTLY as you would like it to appear on your CE certificate.*

Example: Jane Doe, PhD, CADC I

Email address where you would like your CE certificate delivered.*

Signature*

By signing below, I verify that I attended this event in its entirety.

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2024 Housing Works Training Attestation Form

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