Regional Training Center

NYS Department of Health-AIDS Institute

On-line Schedule and Registration Request


Please complete all information requested below.  Incomplete requests will not be accepted.

If the training you are requesting is full, you will be put in the next available session or on a waiting list for that topic.
Upon receipt of your registration request, you will be sent a follow-up letter of confirmation and
directions to the training site will be sent 1 to 2 weeks prior to the training.

Do not alter your work schedule until you receive confirmation of registration.

Please select the course or courses you would like to attend below

ALL TRAININGS ARE CURRENTLY CLOSED
REGISTRATIONS WILL ADD YOU TO A WAITING LIST ONLY

TITLE (click on the title for a description) Select Date Time Location
Overview of HIV Infection and AIDS Sept/09/2009 9:00am-5:00pm Cicatelli Associates
HIV/AIDS Confidentiality Law Sept/10/2009 9:00am-12:00pm Cicatelli Associates
Introduction to Case Management Sept/15/2009 9:00am-5:00pm Cicatelli Associates
Basic Information on Domestic Violence Sept/16/2009 9:00am-5:00pm Cicatelli Associates
HIV Testing in NYS: 2005 Guidance Sept/23/2009 9:00am-1:00pm Cicatelli Associates
HIV Testing Skills: Practice Session Sept/24/2009 9:00am-5:00pm Cicatelli Associates
Addressing Prevention with HIV Positive Clients Sept/29/2009 9:00am-5:00pm Cicatelli Associates
Addressing Prevention In Case Management Oct/1/2009 9:00am-5:00pm Cicatelli Associates
Sex, Gender, and HIV Oct/13-14/2009 9:00am-5:00pm Cicatelli Associates
Group Facilitation Skills for STD/HIV Prevention Interventions Oct/15-16/2009 9:00am-5:00pm Cicatelli Associates
HIV Disclosure: Deciding Who and When to Tell Oct/22/2009 9:00am-1:00pm Cicatelli Associates
HIV/AIDS Treatment Update Oct/23/2009 9:00am-12:00pm Cicatelli Associates
HIV & STDs Oct/23/2009 1:00pm-4:00pm Cicatelli Associates
HIV-Hep C connection Oct/27/2009 9:00am-5:00pm Cicatelli Associates
HIV Testing 2005    Oct/28/2009 9:00am-1:00pm Cicatelli Associates
Skill Practice Session Oct/29/ 09 9:00am-5:00pm Cicatelli Associates
Reducing The Risk And Harm Of HIV Nov/3,4,5/ 2009 9:00am-5:00pm Cicatelli Associates
Confidentiality Law Nov/6/2009 9:00am-12:00pm Cicatelli Associates
Mental Health Services Dec/2,3/2009 9:00am-5:00pm Cicatelli Associates
Improving health outcomes Dec/4/2009 9:00am-5:00pm Cicatelli Associates
Building Bridges To Cultural Competency Dec/10/2009 9:00am-5:00pm Cicatelli Associates
Promoting Primary Care new* Dec /11/2009 9:00am-5:00pm Cicatelli Associates
Tailoring HIV Counseling & Testing to the Unique Needs of Adolescents Dec/17/2009 9:00am-5:00pm Cicatelli Associates

Please complete all information requested below.  Incomplete requests will not be accepted.

First Name:
Last Name:
Your Title/Position
Agency Name:
Agency Address:
Room/Floor/Suite/Dept.
City:    State:   Zip Code:
Daytime Telehone:
Include Area Code		    Fax:
Email:
 
What county do you work in the most?		  
Primary Work setting
Primary Occupation
Number of Years in current Occupation
Education Level
Race
Ethnicity

Do you have any special needs to attend
(e.g. interpreter, wheel chair, etc.)
       
Do You currently provide HIV Pre/Post-Testing Counseling? yes  no                                         
If no, will you be providing this service in the next 3 months? yes  no                                         
Are you a case manager or case management technician in both COBRA and grant funded programs? yes  no                                         
Have you ever attended an HIV 101 or HIV Update course? yes  no                                         
   
Supervisor’s verification of job responsibility is required to attend the “HIV Testing Skills Practice Session” and the “HIV Testing in NYS 2005 Guidance” training programs. Supervisory approval is NOT required for physicians, dentists or other clinicians.
If you are requesting registration for these trainings, have you verified this with your supervisor yes  no                     not applicable
Supervisor's Name:
Supervisor's telephone (include Area Code):

Thank You

This completed PDF form with your request may also mailed or faxed to: Christina Rivera
Cicatelli Associates Inc., 505 Eighth Avenue, 16th Floor, New York, NY 10018
Phone (212) 594-7741 Fax (212) 629-3321
If you have any special needs (e.g., Interpreter, wheel chair, etc.)
please contact us and we will accommodate your needs to the
www.cicatelli.org