CDPASS Case Manager Thursday, November 12, 2026 CDPASS Case Manager Training November 12, 2026 Times: 9:00am – 4:30pm (Lunch Break provided) CDPASS Case Manager Training November 12, 2026 "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Name* First Last Position Title*Phone*Email* Case Manager Certification Date*You must have a minimum of six months experience as a Certified Case Manager to attend this courseMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Agency Name*Special Attendee*Agency Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Agency County*Pre-Assessment* I acknowledge that it is required that I complete the CDPASS pre-assessment before class starts. I understand that my failure to complete this pre-assessment will result in my spot being dropped from the class. (Information about accessing the pre-assessment will be sent to the email you used to register a few days before training is scheduled to start.)Final Assessment* I acknowledge that I must complete the final assessment by the end of class and pass with at least 80% to receive credit. I understand that no one will be allowed to complete the assessment after the class ends. Special Accommodations?
