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Erikson Institute Professional Development Inquiry Form

Contact Professional Development

Interested in Erikson Institute’s services in the development and delivery of professional development to several people? Please complete this form to the best of your ability.

Name(Required)

First Last

Your Email Address(Required)

We will use this email address to contact you about your inquiry.

Please share with us any budget limitations and expectations(Required)

$0 – $9,999

$10,000 – $19,999

$20,000 – $49,999

$50,000 +

How many participants do you expect to engage in this professional development per calendar year?(Required)

1 – 15

16-99

100 – 499

500+

Which one of the following topics would you like the professional development to focus on?(Required)

Building Community Among Peers and/or FAN Group Facilitation

Early Intervention

Diversity, Equity, Justice, and Inclusion

Facilitating Attuned Interactions (FAN) – for a group

Facilitating Attuned Interactions (FAN) – for an individual

Family Support Services/ Supporting Family Mental Health

Growth and Development

Language and Literacy

Math

Infant and Early Childhood Mental Health/ Social Emotional Learning and Development

Policy

Science

Social Work

Technology and Digital Media

Standards or a specific assessment tool

Other

Who is the target audience for the professional development?(Required)

Early Child Care and Education Providers

Center, School, or District Leadership

Policy Advocates

Early Interventionists/Developmental Therapists

IECMH Consultants

Social Workers

Other

Other topic you would like the professional development to focus on:

Send me a copy of my responses

Yes, send me a copy

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