This is the application to be considered for training as a Within-Agency Trainer. Each clinician requesting to be considered for training as a Within Agency Trainer in the PSB-CBT model should complete this application in entirety.

You will be given the option to 'Save & Return Later' in order to complete the application. This will allow you to save your progress and return where you left off to complete the survey any time in the future. You will be required to enter auto-generated return code, which will be required to enter upon returning to the survey in order to continue.

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You have selected an option that triggers this survey to end right now.
To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.