Registration F=
orm
=
;
Pleas=
e send
completed registration form to:
=
;
Health
Education & Training Institute
25 Middle St.
Portland, Maine 04101
Regis=
ter
on-line
www.hetimaine.org =
=
;
Name:=
______________________________=
=
;
Agenc=
y: _____________________________<=
o:p>
=
;
Addre=
ss: ____________________________
=
;
_____=
_______________________________
=
;
Telep=
hone: __________________________
=
;
E-mai=
l: ______________________________=
=
;
<=
span
lang=3DEN style=3D'font-size:11.0pt;font-family:Arial;mso-ansi-language=
:EN'>Every
applicant must be
<=
span
lang=3DEN style=3D'font-size:11.0pt;font-family:Arial;mso-ansi-language=
:EN'>Interviewed
and accepted!
=
;
Works=
hop: GROUP WORK INTERNSHIP
Cost:=
&n=
bsp; $10-20/hour
for 90 hours
&nb=
sp; =
based upon what the agency
&nb=
sp; =
or individual can afford.
Locat=
ion: 25 Middle Stree=
t Portland
=
;
Upon =
completion,
45 contact hours will be awarded by the Maine Board of Alcohol and Drug
Counselors.
=
;
For m=
ore
information,
please call=
us at
773-3275 or
e-mail us at
heti@gwi.net.
www.h=
eitmaine.org
=
;
![](3D"GroupInternship_files/image002.gif")