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TDIN - Register

Register  |  Contact and Staff Information

Are you involved or work with a TDIN member drop-in? Yes? Please join the site for access to more content. To get started click "member registration" and complete and submit the online form. You will receive a follow-up e-mail to confirm.

 
* indicates a required field
 
* First Name:
* Last Name:
 
* Member Drop-in Name:
 
Agency Name:
(if different from above)
 
* Supervisor's Name:
 
* Role in the Drop-in: Participant
Volunteer
Peer Worker
Drop-in Worker
Admin Worker
Manager/Executive Director
Board Member
Student
 
* Postion Title:
 
* Phone:      Extention:
 
Fax:
 
Best Time to Call:
 
* Email:
 
Email 2:
 
* Password:
* Password Again:
 
Experience:
 
Skills:
 
Interests:
 
* Languages Spoken:
Arabic Bengali
Bulgarian Chinese - Cantonese
Chinese - Mandarin Croatian
Czech Danish
Dutch English
Farsi/Dari French
German Greek
Hakka Hindi
Hungarian Italian
Japanese Khmer
Korean Kurdish
Macedonian Ojibway
Other Pashto
Persian Polish
Portuguese Punjabi
Russian Serbian
Slovenian Somali
Spanish Tagalog
Tamil Thai
Tibetan Turkish
Urdu Vietnamese
Yoruba
 
 
Profile Statment:
 
* Type of Member: TDIN Rep
TDIN Training Contact
Training Committee Member
Steering Committee Member
TDIN General Member