Area 4 > Area 4 Training Registration

Your Contact Information

Please fill in all of the information below:

* Denotes Required Filed

* First Name:
* Last Name:
* Contact Telephone: (Including Area Code)
* Email Address:
Address:
City:
State:
Zip:
* Have you submitted your completed Medicaid Waiver application to vendor enrolment and received a letter back stating the required training:
* Select the county you are or will be providing services in :
* What is the name of the agency you work for (solo providers put NA in this box)

Class Schedule and Registration

Please select the training classes in which you would like to register. You may register for more than one class.

Agency providers must fill out the actual name of the staff member that will be attending the training (please submit one form per person).

Once you have made your selection, click on the "Send Form" button at the bottom of the page. Your request will be sent to the training coordinator, who will send you an e-mail which confirms the receipt of your request and notifies you of the status (i.e., the date and time of the classes you are registered for).

If you do not receive a confirmation from the training coordinator, you are not registered for the training.

You must print out the confirmation e-mail and bring it with you on the day of the class. Only registered providers will be admitted to the training.

**Class sizes are limited. Registration does not guarantee a seat in the class. The Area 4 office may withdraw any registration prior to a scheduled class. The registrant will be notified of their registration withdrawal via the contact e-mail address provided on the online registration form.

Additional Information

Cancellations: Please send cancellation notifications by e-mail to the APD Area 4 Training Registration group.

Providers who register for training and are unable to attend must notify the Area 4 office no later than 24 hours prior to the scheduled training by phone or e-mail.
If the class starts on Monday, providers must notify the Area 4 office by 3:30 p.m. on the Friday prior to the scheduled training if they are not able to attend.
Providers who register for training and do not attend or notify the Area 4 office of their cancellation will be placed on the no call no show list. See the Area 4 training calendar for more information.

Closed Training: If a training is marked Class Full, this indicates that there is no space available for the training. If you are not registered for the class, you will not be admitted to the class or receive your certificate, even if you show up to the training on the date and time scheduled.

Location: All trainings provided by APD Area 4 will be held at the address listed below, unless otherwise indicated:

3631-B Hodges Blvd
Jacksonville, FL 32224
(904) 992-2440

Class Selection

All Training Classes are Full

April training classes will be posted March 19, 2010