Reflective & Trauma-Informed Supervision Application Please enable JavaScript in your browser to complete this form.Please review and check the following boxes to indicate your agreement. *I am currently able to attend both sessions of this training (January 19 AND February 2, 2024).I understand that this training will require my active participation, including using audio and webcam.I understand that training spots are limited and that acceptance is not on a "first come, first served" basis, as CalTrin needs to balance the needs of agencies across the state of California.I understand that if I am not selected for this training, I will be notified beginning the week of December 4, 2023]and placed on a waiting list for future trainings.I understand that by registering for a CalTrin training, I consent to be added to the CalTrin mailing list.Name *FirstLastLayoutEmail *Job Title *State *Phone *We may need to call you to confirm registration details. Please provide a direct phone number or include an extension so that we can reach you.Organization *ZIP Code *Select the CALIFORNIA COUNTY in which you work: *I do not not work in CaliforniaMultiple counties/statewide (California)AlamedaAlpineAmadorButteCalaverasColusaContra CostaDel NorteEl DoradoFresnoGlennHumboldtImperialInyoKernKingsLakeLassenLos AngelesMaderaMarinMariposaMendocinoMercedModocMonoMontereyNapaNevadaOrangePlacerPlumasRiversideSacramentoSan BenitoSan BernardinoSan DiegoSan FranciscoSan JoaquinSan Luis ObispoSan MateoSanta BarbaraSanta ClaraSanta CruzShastaSierraSiskiyouSolanoSonomaStanislausSutterTehamaTrinityTulareTuolumneVenturaYoloYubaI have been in a leadership/supervisory role for: *I am not currently in a leadership/supervisory role (please provide more information in the Comments section)Less than 1 year1-2 years3-5 years6-10 yearsMore than 10 yearsHow many individuals currently directly report to you? *How many individuals do you indirectly supervise currently (i.e., your direct supervisee supervises them)? *How do you plan to use what you learn in this training in the next 6 months? *Comments or QuestionsKnowledge CheckThe answers you provide in this section will not impact your application. These questions help us to obtain information about our learners' knowledge of a topic prior to training and the effectiveness of the training. participants will be asked the same questions at the end of the training.What are the three building blocks of reflective supervision? *Reflection, self-regulation, and co-regulationReflection, collaboration, and regularityCollaboration, assessment, and skill-buildingAssessment, coaching, and reflectionI don't knowWhich of the following statements is NOT true? *Clients’ trauma that manifests as dysregulated emotions and behavior will often impact all team members who interact with them.Studies show more than 70% of social workers have experienced at least one STS symptom in the last week.Many human services higher education programs do not require people to go through their own therapy.Encouraging team members to talk about their reactions to their clients should be discouraged.I don't knowWhich of the following can impact a team member's secondary traumatic stress? *Lack of peer supportIntention of leaving their jobCaseload sizeLifetime trauma historyAll of the aboveI don't knowSubmit