Faculty Sign Up

Please complete the form below to put your name on a list for training opportunities in 2024!

Select the option that best describes you

Please select one

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Discipline

(e.g., Behavior Analysis, Clinical Psychology, Counseling)

Phone

(###)

###

####

Institution

(e.g., Marquette University)

Comments or Questions?

If you have any comments or questions, let us know :)

Need additional support to participate?

The LEADRS team has designated funds to support individuals who may experience barriers to participating in the training (e.g., travel and lodging expenses for the in-person training days, childcare). If you are interested in learning more about this funding opportunity as well as the application process, please indicate this below. (NOTE: All participants who complete the training will receive $800. This is an additional opportunity for funding to address financial barriers that may be experienced by some.)

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