Navigating the US Immigration System
Complete the form below to register for "Navigating the US Immigration System" on Wednesday, June 21, 2017. This training will take place from 9:30 a.m. - 12:30 p.m. at Community Health Center in Middletown.

PLEASE NOTE: All sessions are free for ACT members, non-members will be charged $25 per person (please mail check to ACT, 110 Bartholomew Ave, Ste 3050, Hartford, CT 06106). Limit of 2 people per agency. Failure to attend without a phone call or email at least 24 hours in advance will result in a $25.00 charge and may limit your access to future trainings.
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Case Manager Type *
What type of Case Manager are you?
Previous Trainings *
Have you attended any previous CMTI training sessions?
Agency Category *
Please select the category that best describes the agency you are employed by:
First Name *
Last Name *
Agency *
Address *
City *
State *
Zip Code *
Email *
Phone *
Supervisor Name *
Please list your supervisor's name.
Supervisor Email *
Please list your supervisor's email address.
Supervisor Phone *
Please list your supervisor's phone number (with extension, if applicable).
No-Show Policy Acknowledgment *
A cancellation of a scheduled instructor-led training made less than twenty-four (24) hours prior to the day of the scheduled training will be deemed a "no-show". No-shows for all confirmed registrations will be assessed a $25.00 "no-show" fee. In addition, recurring "no-shows" may have their access to future trainings restricted.
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