Focus for Life
Registration Application

Requirements for Successful Completion of Continuing Education

Register for the Training Session
Attend the entire event
Participate in education activities
Complete online participant evaluation

Participation in virtual trainings requires a web cam, mic, audio, and reliable internet. No exceptions can be made.

Prosumers International
Provider No. 2074-21
Provider approved by the TCB Standards Committee, Provider No. 2085-21, 20 (20) hours ethicsl. Expires 11/24.

Complaints about provider or workshop content may be directed to the TCB Standards Committee, PO Box 342343, Lakeway, TX 78734, Fax Number (888) 506-8123.

The cost of the training is $325.00. If you work at at LMHA/LBHA, the cost is 292.50. You must use your LMHA/LBHA work email to get the discount.

Next Training

8:30 am - 4:30 pm

August 21-23,2024

Virtual

To registration for the Focus for Life Program or to be notified of a new class, please fill in the information below.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Have you attended Focus for Life Before? *

Yes

No

Maybe

If yes, what was the year you took it.

Which location are you registering for? *

Please choose for which Certificate your are requiring CEUs for. May check more than one
(Not a requirement for participation)

MHPS

RSPS

Family Partner

Peer Supervisor

If you are certified, please enter your certification number here to received CEUs

Where did you find out about this program? *

How would you like your life to be different? *

Some needs based scholarships may be available. Please check if you want to see if you qualify for a full or partial scholarship. *

I understand I must have a zoom account with a working mic and video camera. To get credit, I will keep my camera on the majority of the time and participate in the training. If I need a work around, I will contact the Prosumer office to discuss a possible alternative. The office number is 800-577-3795,

Your Signature *

clear

Focus for Life Registration Application

Focus for Life
Registration Application