To register for the event, please complete the form below: Name First Last Company Name / Organization PhoneEmail* Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Select the workshop you are registering to attend:* Bridges Out of Poverty (2-Day – $299) Bridges Out of Poverty (1-Day – $199) Bridges Out of Poverty for Early Childhood Educators Getting Ahead Facilitator Training (2-day – $199) R Rules Certified Facilitator Training (2-Day-$99) HiddenEvent Date CPE credits you plan on receiving:Only select the credits for which workshop you are registering to attend. There are no CPE credits for the Getting Ahead Facilitator Training workshop. Bridges Out of Poverty: 12 hours of Continuing Professional Education Bridges Out of Poverty for Early Childhood Educators: 14 OCCRRA credits Payment Method**The Glen accepts payment by cash, check, money order, purchase order or Paypal. Select your preferred method below. Contact The Glen with any questions. Call (937) 258-3506 or email training@glenatstjoseph.org. Cash, Check, Money order or Purchase Order Paypal