Child Welfare Education Partnership
Caregiver Ongoing Training (COT) Course Registration Form

 
First Name
(required)
*Full* Middle Name
(If no middle name, enter "None.")
(required)
Last Name
(required)
Date of Birth
(Please use this format: mm/dd/yyyy)
(required)
*Home Mailing* Address
(required)
If the address you entered above is your email address or work address, your registration will not be processed. Is the address you entered above your HOME MAILING address?
(required)
Town
(required)
State
(required)
Zip Code
(required)
Home Phone Number
(Please use this format: xxx-xxx-xxxx)
(required)
Work Phone Number
(Please use this format: xxx-xxx-xxxx)
Cell Phone Number
(Please use this format: xxx-xxx-xxxx)
Primary Email Address
(Please use all lowercase letters)
(required)
If you have a disability which may require
special services, please check here.
Please explain your accomodation needs.
(required)
You are eligible for Caregiver Ongoing Training because you are:
(required)
Location of district office
or name of licensing agency
(required)

Do you have a foster child

in your licensed childcare facility?

(required)
Do you work for Headstart?
(required)

Do not submit this form. 

 

You are not eligible to take FREE Caregiver Ongoing Training.

 

Please call the office at 603-271-6625 to learn about paid training you are eligible for.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Headstart Facility
(required)
Name of Childcare
(required)
Name of residential facility
(required)
Other? Please explain.
(required)

 

Select Course(s)

To choose multiple classes, hold down
the "Ctrl" key and select each class.

(required)

In order to qualify to take Medications: Residential Staff Review, you must have successfully completed a Medications training within the last 18 months or sooner. Please click on the box below to verify the statement before proceeding.

(If you have not taken a Medications training within the last 18 months or sooner, the training you need to take is Medications: What Residential Staff Need to Know.)

I certify that I successfully

completed a Medications training

within the last 18 months or sooner.

(required)

1.2 CEU classes require 12 hours of work.

.6 CEU classes require 6 hours of work.

.3 CEU classes require 3 hours of work.

Please be aware that participating in multiple classes takes time and commitment. If you register for multiple classes in which you do not participate and/or complete, you may take the opportunity away from another student to participate in the class in the event there is a waitlist.

 
 
 
 
 
 
 
Additional Comments, if any:

 

 

By submitting this registration, you are agreeing to allow the Education &Training Partnership to share your 

course participation and completion information with the New Hampshire Division for Children Youth & Families (DCYF).

Payment Options