ÿþ<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40"> <head> <meta http-equiv=Content-Type content="text/html; charset=unicode"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 12"> <meta name=Originator content="Microsoft Word 12"> <link rel=File-List href="volunteerform_files/filelist.xml"> <title>Kids hurt too: Registration for Training</title> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>cindy</o:Author> <o:Template>Normal</o:Template> <o:LastAuthor>cindy</o:LastAuthor> <o:Revision>14</o:Revision> <o:TotalTime>47</o:TotalTime> <o:Created>2010-02-10T22:09:00Z</o:Created> <o:LastSaved>2010-02-10T22:24:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>367</o:Words> <o:Characters>2092</o:Characters> <o:Lines>17</o:Lines> <o:Paragraphs>4</o:Paragraphs> <o:CharactersWithSpaces>2455</o:CharactersWithSpaces> <o:Version>12.00</o:Version> </o:DocumentProperties> </xml><![endif]--> <link rel=themeData href="volunteerform_files/themedata.thmx"> <link rel=colorSchemeMapping href="volunteerform_files/colorschememapping.xml"> <!--[if gte mso 9]><xml> <w:WordDocument> <w:Zoom>156</w:Zoom> <w:SpellingState>Clean</w:SpellingState> <w:GrammarState>Clean</w:GrammarState> <w:TrackMoves>false</w:TrackMoves> <w:TrackFormatting/> <w:DrawingGridHorizontalSpacing>6 pt</w:DrawingGridHorizontalSpacing> <w:DisplayHorizontalDrawingGridEvery>2</w:DisplayHorizontalDrawingGridEvery> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="&#45;-"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Normal"/> <w:LsdException Locked="false" Priority="9" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="heading 1"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/> <w:LsdException Locked="false" Priority="39" Name="toc 1"/> <w:LsdException Locked="false" Priority="39" Name="toc 2"/> <w:LsdException Locked="false" Priority="39" Name="toc 3"/> <w:LsdException Locked="false" Priority="39" Name="toc 4"/> <w:LsdException Locked="false" Priority="39" Name="toc 5"/> <w:LsdException Locked="false" Priority="39" Name="toc 6"/> <w:LsdException Locked="false" Priority="39" Name="toc 7"/> <w:LsdException Locked="false" Priority="39" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" Name="toc 9"/> <w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/> <w:LsdException Locked="false" Priority="10" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Title"/> <w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/> <w:LsdException Locked="false" Priority="11" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" Priority="22" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" Priority="59" SemiHidden="false" UnhideWhenUsed="false" Name="Table Grid"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/> <w:LsdException Locked="false" Priority="34" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" SemiHidden="false" UnhideWhenUsed="false" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611985 1107304683 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;} a:link, span.MsoHyperlink {mso-style-noshow:yes; mso-style-priority:99; color:blue; text-decoration:underline; text-underline:single;} a:visited, span.MsoHyperlinkFollowed {mso-style-noshow:yes; mso-style-priority:99; color:purple; text-decoration:underline; text-underline:single;} p {mso-style-priority:99; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:8.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;} p.bottomline, li.bottomline, div.bottomline {mso-style-name:bottomline; mso-style-priority:99; mso-style-unhide:no; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; border:none; mso-border-alt:solid black .25pt; mso-border-bottom-alt:solid black .75pt; padding:0in; mso-padding-alt:0in 0in 0in 0in; font-size:8.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;} p.label, li.label, div.label {mso-style-name:label; mso-style-priority:99; mso-style-unhide:no; margin:0in; margin-bottom:.0001pt; text-align:right; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;} p.questionnaire, li.questionnaire, div.questionnaire {mso-style-name:questionnaire; mso-style-priority:99; mso-style-unhide:no; margin-top:0in; margin-right:0in; margin-bottom:31.3pt; margin-left:7.85pt; mso-pagination:widow-orphan; font-size:8.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast;} span.GramE {mso-style-name:""; mso-gram-e:yes;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:10.0pt; mso-ansi-font-size:10.0pt; mso-bidi-font-size:10.0pt;} @page Section1 {size:8.5in 11.0in; margin:.5in .5in .5in .5in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} /* List Definitions */ @list l0 {mso-list-id:677194484; mso-list-template-ids:753403808;} @list l0:level1 {mso-level-number-format:image; list-style-image:url("PicExportError"); mso-level-text:·ð; mso-level-tab-stop:.5in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:10.0pt; font-family:Symbol;} @list l0:level2 {mso-level-tab-stop:1.0in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level3 {mso-level-tab-stop:1.5in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level4 {mso-level-tab-stop:2.0in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level5 {mso-level-tab-stop:2.5in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level6 {mso-level-tab-stop:3.0in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level7 {mso-level-tab-stop:3.5in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level8 {mso-level-tab-stop:4.0in; mso-level-number-position:left; text-indent:-.25in;} @list l0:level9 {mso-level-tab-stop:4.5in; mso-level-number-position:left; text-indent:-.25in;} @list l1 {mso-list-id:1392459016; mso-list-template-ids:753403808;} @list l1:level1 {mso-level-number-format:image; list-style-image:url("PicExportError"); mso-level-text:·ð; mso-level-tab-stop:.5in; mso-level-number-position:left; text-indent:-.25in; mso-ansi-font-size:10.0pt; font-family:Symbol;} @list l1:level2 {mso-level-tab-stop:1.0in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level3 {mso-level-tab-stop:1.5in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level4 {mso-level-tab-stop:2.0in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level5 {mso-level-tab-stop:2.5in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level6 {mso-level-tab-stop:3.0in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level7 {mso-level-tab-stop:3.5in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level8 {mso-level-tab-stop:4.0in; mso-level-number-position:left; text-indent:-.25in;} @list l1:level9 {mso-level-tab-stop:4.5in; mso-level-number-position:left; text-indent:-.25in;} @list l2 {mso-list-id:2069037643; mso-list-template-ids:1191894610;} @list l2:level1 {mso-level-tab-stop:.5in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level2 {mso-level-tab-stop:1.0in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level3 {mso-level-tab-stop:1.5in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level4 {mso-level-tab-stop:2.0in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level5 {mso-level-tab-stop:2.5in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level6 {mso-level-tab-stop:3.0in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level7 {mso-level-tab-stop:3.5in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level8 {mso-level-tab-stop:4.0in; mso-level-number-position:left; text-indent:-.25in;} @list l2:level9 {mso-level-tab-stop:4.5in; mso-level-number-position:left; text-indent:-.25in;} ol {margin-bottom:0in;} ul {margin-bottom:0in;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif";} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="3074"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US link=blue vlink=purple style='tab-interval:.5in'> <div class=Section1> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width="100%" valign=top style='width:100.0%;padding:0in 0in 0in 0in'> <div align=center> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=576 style='width:6.0in;mso-cellspacing:0in;border:solid black 1.0pt;mso-border-alt: solid black .75pt;mso-yfti-tbllook:1184;mso-padding-alt:0in 0in 0in 0in; mso-border-insideh:.75pt solid black;mso-border-insidev:.75pt solid black'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes; height:626.55pt'> <td width=576 style='width:6.0in;border:solid black 1.0pt;mso-border-alt: solid black .75pt;padding:0in 0in 0in 0in;height:626.55pt'> <div align=center> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;border:solid black 1.0pt; mso-border-alt:solid black .25pt;mso-border-bottom-alt:solid black .75pt; mso-yfti-tbllook:1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=564 style='width:423.0pt;border:none;padding:0in 0in 0in 0in'> <p align=center style='text-align:center'><b>REGISTRATION FOR TRAINING</b><br> Print out and send this completed form and deposit to<br> KIDS HURT TOO, P.O. Box 11260, Honolulu, HI 96828<br> or fax to 545-5683 or email the information required to <a href="mailto:kidshurttoo@hawaiiantel.net">kidshurttoo@hawaiiantel.net</a> </p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Name <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Address <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>City <o:p></o:p></span></p> </td> <td width=274 style='width:205.5pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> <td width=40 valign=top style='width:30.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>State <o:p></o:p></span></p> </td> <td width=40 style='width:30.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> <td width=35 valign=top style='width:26.25pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Zip <o:p></o:p></span></p> </td> <td width=75 style='width:56.25pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Phone (home) <o:p></o:p></span></p> </td> <td width=207 style='width:155.25pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> <td width=50 valign=top style='width:37.5pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>(work) <o:p></o:p></span></p> </td> <td width=207 style='width:155.25pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Email <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Occupation/Title <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Employer <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:3'> <td width=100 rowspan=2 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Employer Address <o:p></o:p></span></p> </td> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4;mso-yfti-lastrow:yes'> <td width=464 style='width:348.0pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=100 valign=top style='width:75.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Signature <o:p></o:p></span></p> </td> <td width=349 style='width:261.75pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> <td width=40 valign=top style='width:30.0pt;padding:3.9pt 3.9pt 0in 0in'> <p class=MsoNormal align=right style='text-align:right'><span style='font-size:10.0pt;mso-fareast-font-family:"Times New Roman"'>Date <o:p></o:p></span></p> </td> <td width=75 style='width:56.25pt;border:solid black 1.0pt;mso-border-alt: solid black .25pt;mso-border-bottom-alt:solid black .75pt;padding:0in 0in 0in 0in'> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'>&nbsp; <o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td colspan=4 style='padding:0in 0in 0in 0in'> <p align=center style='text-align:center'><o:p>&nbsp;</o:p></p> <p align=center style='text-align:center'>Dates, times, and location of training vary depending on the size of the group. To learn more call 545-5683.</p> <p align=center style='text-align:center'><o:p>&nbsp;</o:p></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;border:solid black 1.0pt; mso-border-alt:solid black .25pt;mso-border-bottom-alt:solid black .75pt; mso-yfti-tbllook:1184;mso-padding-alt:0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=564 style='width:423.0pt;border:none;padding:0in 0in 0in 0in'> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;margin-left:23.5pt;text-indent:-.25in;mso-list:l0 level1 lfo2; tab-stops:list .5in'><![if !supportLists]><span style='font-size:10.0pt; mso-bidi-font-size:8.0pt;font-family:Symbol;mso-fareast-font-family:Symbol; mso-bidi-font-family:Symbol'><span style='mso-list:Ignore'><img width=8 height=8 src=PicExportError alt="*"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span style='font-size:8.0pt;mso-fareast-font-family: "Times New Roman"'>Enclosed is my non-refundable deposit of $25.<o:p></o:p></span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;margin-left:23.5pt;text-indent:-.25in;mso-list:l0 level1 lfo2; tab-stops:list .5in'><![if !supportLists]><span style='font-size:10.0pt; mso-bidi-font-size:8.0pt;font-family:Symbol;mso-fareast-font-family:Symbol; mso-bidi-font-family:Symbol'><span style='mso-list:Ignore'><img width=8 height=8 src=PicExportError alt="*"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span style='font-size:8.0pt;mso-fareast-font-family: "Times New Roman"'>Enclosed is my full $75 course fee. I understand that $50 is refundable if cancellation is made two weeks before the first session begins.<o:p></o:p></span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;margin-left:23.5pt;text-indent:-.25in;mso-list:l0 level1 lfo2; tab-stops:list .5in'><![if !supportLists]><span style='font-size:10.0pt; mso-bidi-font-size:8.0pt;font-family:Symbol;mso-fareast-font-family:Symbol; mso-bidi-font-family:Symbol'><span style='mso-list:Ignore'><img width=8 height=8 src=PicExportError alt="*"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span style='font-size:8.0pt;mso-fareast-font-family: "Times New Roman"'>Put me on your list for when a training session becomes available.<o:p></o:p></span></p> <p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;margin-left:23.5pt;text-indent:-.25in;mso-list:l0 level1 lfo2; tab-stops:list .5in'><![if !supportLists]><span style='font-size:10.0pt; mso-bidi-font-size:8.0pt;font-family:Symbol;mso-fareast-font-family:Symbol; mso-bidi-font-family:Symbol'><span style='mso-list:Ignore'><img width=8 height=8 src=PicExportError alt="*"><span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><![endif]><span style='font-size:8.0pt;mso-fareast-font-family: "Times New Roman"'>I want to take the training but cannot volunteer. I am willing to pay the professional fee of $250.<o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td width=564 style='width:423.0pt;border:none;padding:0in 0in 0in 0in'> <p style='line-height:150%'>Please note that volunteer facilitators/mentors are required to attend all three days of the training. <span class=GramE>Kids hurt too reserves</span> the right to accept or reject all potential volunteers. Participation in the reduced rate training indicates that you intend to commit to one year of volunteer facilitating and mentoring with children, teens, or care givers in a peer support group. Volunteering for a peer support group is an eight hour a month commitment. If you want to know about future training, please sign up for our email newsletter at our website: www.kidshurttoo.org.</p> <p style='line-height:150%'><o:p>&nbsp;</o:p></p> <p style='line-height:150%'><b style='mso-bidi-font-weight:normal'><span style='color:red'>CAUTION!</span></b> This training can be very intense. It involves a willingness to explore your personal experience of grief and loss. When scheduled to attend, please make sure that you have free time after training for self-care. We are committed to the well being of our volunteers as much as our families. The training also includes 1) history and current model on children s grief; 2) facilitating grief through play; 3) facilitating groups; 4) creating a safe environment for healing. This is an experiential, practice oriented training.</p> <p><o:p>&nbsp;</o:p></p> </td> </tr> </table> </div> <p class=MsoNormal align=center style='text-align:center'><span style='mso-fareast-font-family:"Times New Roman";display:none;mso-hide: all'><o:p>&nbsp;</o:p></span></p> <div align=center> <table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width=564 style='width:423.0pt;mso-cellspacing:0in;mso-yfti-tbllook:1184;mso-padding-alt: 0in 0in 0in 0in'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width=564 valign=top style='width:423.0pt;padding:0in 0in 0in 0in'> <p align=center style='text-align:center'><b>PLEASE COMPLETE THE REGISTRATION QUESTIONNAIRE<o:p></o:p></b></p> <p align=center style='text-align:center'><o:p>&nbsp;</o:p></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'>Please tell us why you are interested in attending this training.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'>Describe any training you have had related to grief or group facilitation.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'>Does your experience include a loss from death, divorce, or separation from a parent? If so, when and give a short summary of your experience.<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'>What reason do you have for wanting to be a children's grief support and mentor volunteer?<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:0in;margin-right:0in;margin-bottom: 31.3pt;margin-left:-10.15pt;text-align:justify'><span style='font-size: 8.0pt;mso-fareast-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1;mso-yfti-lastrow:yes'> <td width=564 valign=top style='width:423.0pt;padding:0in 0in 0in 0in'> <p><b><o:p>&nbsp;</o:p></b></p> </td> </tr> </table> </div> <p class=MsoNormal><span style='font-size:10.0pt;mso-fareast-font-family: "Times New Roman"'><o:p></o:p></span></p> </td> </tr> </table> </div> </td> </tr> </table> <p class=MsoNormal><span style='mso-fareast-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html>