Your Name: *


Professional Designation/Title: *


Your Email: *


Phone: *


Confidentiality Agreement: I agree to keep confidential the personal identity information of case material shared in this workshop by the trainer and participants. I agree not to record any part of this training in any format (audio, video or visual). Personal written notes of non-confidential material are permitted. *

I agree to join this online training from a secure spot in my home or office. I will make sure that I am the only one able to see my screen to keep the training material confidential. *

I agree to use earphones during this training unless otherwised discussed with the trainer or facilitator. *

I agree to keep my camera on at all times so my participation can be monitored unless otherwise discussed with the trainer or facilitator. *