Individual Registration

Please enter information in the form below to process your registration for the event, Motivational Interviewing (MI): Core & Advanced Skills for Internal Agency Trainers (Oct. 14 & 15, 2026)

First Name *

Last Name *

Email *

Phone

Job Title

Organization

City

State

> What's Your Role At Work? *

Frontline & Direct Services

Organizational Leadership

> Add Certification and Save $45!

Yes (Add only $155)

Add Comment

Payment Information

Coupon

Amount

Discount Amount

Gross amount

Payment Method *

Pay with credit/debit card Receive Invoice & Pay offline

Credit or debit card*

Terms and Conditions *

By registering for this event, I accept Terms and Conditions

Captcha*

Please enter the text you see in the image in the text box for captcha validation