Fax: (816) 363-3314 / Training Program: (816) 822-8900

Registration for Training

Please complete one of these forms per each training for which you are registering. Email, Mail or fax the completed form to the Training Program of Jackson County Board of Services for Developmentally Disabled (see address and fax number above). It must be received at least five (5) days before the training. (Copy or print additional forms as needed.)

(If you want e-mail please download the word document below, fill it out and send it back.)
NOTE: please save file in Word 2003 format (doc)

Download Form

Please Print:

{Please Note: (1) If registering for Level 1 Medication training, you must include the Social Security #and Date of Birth for each registrant. (2) If registering for Medication Update, a copy of the registrant's original Level 1 Medication Aide certificate MUST accompany this form.}
 

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