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Journal Club Application - Forensic Interviewing

Page One

Thank you for your interest in the Midwest Regional CAC's Journal Club.

Please complete the form below to indicate which call(s) you wish to join,
what day/time works best for you, and who else will participate at your site.
If you have any questions about the application, please contact Kim Martinez, Coordinator,
at kim.martinez@childrensmn.org or 952.922.5278.
1. Agency Information *This question is required.
2. Primary Contact *This question is required.
This question requires a valid email address.
3. The Forensic Interviewer Journal Club Call meets on the days/times below. Calls are held during the months of January, April, July and October. Please select which day/time will consistently work for you. *This question is required.
4. Please list any other participants at your site for the Forensic Interviewer Journal Club Call.
Space Cell NameEmail
Additional Participant 1
Additional Participant 2
Additional Participant 3
Additional Participant 4