Leadership Orientation Registration Form – Session B

Sessions*EAP Orientation for Leaders

Employer*

Your Name*

Your Email*

Training Date: please select a date*Monday, April 06, 2026 – Virtual – 1:00pm-3:30pm

Please register each manager or supervisor attending the training*

Enter each name on a separate line.

Enter the number of total registrants*

Choose Registration Rate*Regular Rate ($129.95 per person)EAP Plus Customer (Complimentary)Connections EFS or EFS/BRM Rate ($90.00 / Person)

Total Amount*

By typing your full name here, you approve the above registrations for leadership staff.*

Please submit registration and payment by mail two weeks prior to training date for Connections EFS or EFS/BRM Customers.

For Connections customers: If payment is not received along with the registration form it will be invoiced and added to the regular billing statement from Connections Inc. Employee Assistance Program.