DMHAS: Registration Email or Fax
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DMHAS
410 Capitol Avenue
P.O. Box 341431
Hartford, CT 06134
(860) 418-7000
Toll Free: (800) 446-7348
 
Hearing Impaired: (860) 418-6707
Hearing Impaired Toll Free: (888) 621-3551
 
 
    
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Education and Training Division
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How to Register by Email or Fax
(Effective: February, 2009)
 
To Fill out and Email:

1.  Follow the link to Registration Form to open a new window with the registration form. 

2.  Use computer to fill out fields:
     a. For Checkboxes, you can use the “x” key to select or Left Click in
        the box with your mouse.
     b. Tab to move from one field to the next. 

3.  Save document to your computer {File>Save As…}. 

4.  Name your file something meaningful (e.g.  JohnSmithUnderstPsychMeds3-1-09.doc). 

5.  If you want to fill out forms for multiple classes, go to B. Class Information section and remove the current class title, start date, sessions, and location and enter the new details. 

6.  Save the document again to your computer {File>Save As…}. 

7.  Name your next file something meaningful (e.g. JohnSmithCBT3-2-09.doc). 

8.  Repeat steps # 5-7 for as many registrations you would like to include. 

9.  In your email compose a new message to Education.Training@po.state.ct.us. 

10. Please begin the subject line of the email with the words: “REGISTRATION FORM” 

11. Attach your saved registration forms to your email message 

12. Send the email.

To Fill out and Fax:

1.  Follow the link to Registration Form to open a new window with the registration form. 

2.  Use computer to fill out fields.
     a. For Checkboxes, you can use the “x” key to select or Left Click
         in the box with your mouse.
     b. Tab to move from one field to the next. 

3.  Print {File>Print} 

4.  If you want to fill out forms for multiple classes, go to B. Class Information section and remove the current class title, start date, sessions, and location and enter the new details. 

5.  Print next class like # 3 above. 

6.  Repeat steps # 4-5 for as many registrations you would like to include. 

7.  After you have gathered all of your registration forms fax to: 
          (860) 262-5073 OR (860) 262-5074.

Each class enrollment (Confirmed or Wait listed) are being sent via email ONLY.  Please Provide your email on every registration form.
 
The Registration Form can be opened with Microsoft Word versions 1995 and later. If you have problems opening the Registration Form, please contact your IT Department.
 
Links:




Content Last Modified on 7/21/2009 1:56:01 PM





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