How long have you been interested in and/or working with pediatric mental health?
Please upload a written letter of support/recommendation from a colleague/supervisor that supports your enrollment and involvement in the Pediatric Mental Health Certificate Program through UW-Green Bay Continuing Education and Community Engagement.

Letter of support/recommendation, please include:
- Name
- Relationship to Participant
- Why you support interested participant to complete the certificate program
Do you understand that in being selected as a participant of the program you are required to offer and provide a free 60-minute training to interested community members, parents, teachers and co-workers ( Training on what to include in the 60 minute training will be provided as well as assistance setting up and promoting your event) Events can take place at your workplace for your co-workers, local school for teachers, parents and friends or libraries for community members. Once you complete the certificate program, your name will be added to a registry of certified pediatric mental health participants. You may choose to remove your name from this list if you choose.
Would your workplace be interested in hosting the free community training that each participant will be required to do at the conclusion of the certificate program?