Registration: You must complete a separate registration form for each person below before attending. Space is limited to only 2 persons from each prospective provider and the enrollments are based on a "first come, first served" basis.

Please see the IDHS Training Descriptive page for more information about the training and for any updates.

The next Prospective New CILA/DT Provider Training is scheduled for:

* Wednesday, April 27, 2016 in Oak Lawn, Illinois

If no Agency Name, enter "None"