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Challenging Behavioral Specialist Roster Submission
Challenging Behavioral Specialist Roster Submission
If you have any questions, call (920) 424-1071 or email
regstaff@uwosh.edu
Download CBS Roster
Fields with asterisk are required.
I have checked to make sure all the class participants meet the prerequisites *
Yes
Approved Instructor Logon ID (D#######) *
Instructor First Name *
Instructor Last Name *
Training Site *
Training Site Address *
Training Site City *
Training Site State *
Please select
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Training Site Zip Code *
Date of Class (MM/DD/YYYY) *
Class Start Time *
Class End Time *
How many participants completed the training? *
Please select
Select the number of participants
1 [+$5.00]
2 [+$10.00]
3 [+$15.00]
4 [+$20.00]
5 [+$25.00]
6 [+$30.00]
7 [+$35.00]
8 [+$40.00]
9 [+$45.00]
10 [+$50.00]
11 [+$55.00]
12 [+$60.00]
13 [+$65.00]
14 [+$70.00]
15 [+$75.00]
16 [+$80.00]
17 [+$85.00]
18 [+$90.00]
19 [+$95.00]
20 [+$100.00]
21 [+$105.00]
22 [+$110.00]
23 [+$115.00]
24 [+$120.00]
25 [+$125.00]
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