DBT Skills for School Professionals Attestation Form

"*" indicates required fields

Participation Statement*
I participated in the training, DBT Skills for School Professionals with Erica Tan, PsyD on January 26 & 29, 2024 from 8:30am-4:00pm PT. Please accept this as verification that I participated in the event in its entirety.
Example: Jane Doe, PhD, CADC I
I confirm the single line above contains my name and licensure exactly as I want displayed on my CE certificate.
Can we send you information about upcoming trainings?
By signing below, I verify that I attended this event in its entirety.