Supporting Families with Motivational Interviewing: Group Coaching Series Application Please enable JavaScript in your browser to complete this form.Carefully review and check the following boxes to indicate your agreement: *I am currently able to attend all 6 sessions in this series (9/7, 9/14, 9/21, 9/28, 10/5, 10/12).I currently have availability during the pre-mock interview period (8/28-9/6) and post-mock interview period (10/13-10/19).I understand that this training will require my active participation, including using audio and webcam.I understand that training spots are limited and that acceptance is not on a "first come, first served" basis, as CalTrin needs to balance the needs of agencies across the state of California. Priority will be given to small counties in California.I understand that if I am selected for this training and cannot attend, I should contact CalTrin prior to the training. We may deny future applications for small group training in response to "no show" behavior.I understand that by registering for a CalTrin training, I am giving consent to be added to the CalTrin mailing list.Name *FirstLastEmail *Phone *Please provide a mobile phone, direct line, or extension where we can reach you if needed regarding program confirmation or changes.Job Title *Organization *If in California, what county are you located in? *Not in CaliforniaAlamedaAlpineAmadorButteCalaverasColusaContra CostaDel NorteEl DoradoFresnoGlennHumboldtImperialInyoKernKingsLakeLassenLos AngelesMaderaMarinMariposaMendocinoMercedModocMonoMontereyNapaNevadaOrangePlacerPlumasRiversideSacramentoSan BenitoSan BernardinoSan DiegoSan FranciscoSan JoaquinSan Luis ObispoSan MateoSanta BarbaraSanta ClaraSanta CruzShastaSierraSiskiyouSolanoSonomaStanislausSutterTehamaTrinityTulareTuolumneVenturaYoloYubaCity *State *ZIP *Have you had Motivational Interviewing training in the past? If so, what do you remember most? *Comments or QuestionsSupervisor InformationName of Your Direct Supervisor *FirstLastEmail (Direct Supervisor) *Job Title (Direct Supervisor)Phone (Direct Supervisor)Submit