Co-Occurring Disorders (COD) Registration – 6.1.1

Name*

First Last

Credentials*

Agency/Organization*

Current Position*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone Number*

(NFARtec Staff will be sending weekly SMS text messages related to course content. By inputting your phone number, you consent to receive text messages sent through an automatic telephone dialing system.)

Email*

Enter Email Confirm Email

Password*

Enter Password Confirm Password

Strength indicator

What is one specific questions about co-occurring disorders you would like answered in this online learning series?*

By checking here you are indicating that you understand the pre-requisite and technology requirements as well as the time commitment to participate in this training.*

I understand the time commitment involved and agree to fully participate.

Co-Occurring Disorders – 6.1.1