| Training Class Registration
If you are a Seneca Family of Agencies employee, please select [Employee Log-in] to return to the login screen.
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2023 WA Fraud & Abuse Prevention |
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| Class Time: |
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This is an online class |
Please use this form to register only one person at a time. If you have more than one person to register, please complete a registration for each person individually.
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First Name: |
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Last Name: |
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Home Street Address 1: |
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Street Address 2: |
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City: |
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State: |
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Zip Code: |
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Phone Number: |
e.g. (xxx) xxx-xxxx
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Please enter the phone number or email that the training department can use to most easily contact you, as your email or number will be used in the event of a training cancellation or change
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Second Phone Number: |
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Email Address: |
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Confirm Email: |
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Agency:
Agency (optional):
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Other agency:
* must work with dependent youth
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County Served by Agency:
County of Residence:
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Employee ID:
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| If an email address is specified, you will receive confirmation of your registration by email.
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| To cancel or to reschedule, please contact the Seneca Institute for Advanced Practice by Fax: 510-317-1451, by Telephone: 510-654-4004 ext. 2244, or by email: training@senecacenter.org.
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