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Complete the application below to request approval to use distance learning. The registry will email you an approval after reviewing your application. For questions or concerns please email nolanl@uwgb.edu.
Instructor Full Name
Instructor ID/Approval Number
Contact Email
Contact Phone Number
Please outline your plan for distance learning. List the programs, software, or technology you plan to use.
I certify that I will follow the Distance Learning Guidelines as outlined by The Wisconsin Community-Based Care and Treatment Training Registry. Guidelines are available at https://www.uwgb.edu/registry/instructors/distance-learning-approval
Sign Here
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