UK CoSW LMS Registration Welcome to this registration page. This is a two step process. After submitting this form, an "Activation" email will be sent to the email address you enter. You must click on the Activation Link contained within the email to complete your registration. Name* First Last Username*Email* Enter Email Confirm Email PhonePassword*Please Note: STRONG passwords are required. To make your password strong, use at least 9 Characters/Symbols, upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). Enter Password Confirm Password Strength indicator Which type of registration would you like?*Please Note: All Courses are available regardless of your registration type.Continuing Education (CEU)Foster/AdoptiveFoster/Adoption Demographic InformationState*Please select your State, Territory or Military locationAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaDistrict of ColumbiaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin IslandsArmed Forces AfricaArmed Forces AmericasArmed Forces CanadaArmed Forces EuropeArmed Forces Middle EastArmed Forces PacificThe following two fields ae needed for proper training credit in TRISCounty of Residence*Please select your CountyAdairAllenAndersonBallardBarrenBathBellBooneBourbonBoydBoyleBrackenBreathittBreckinridgeBullittButlerCaldwellCallowayCampbellCarlisleCarrollCarterCaseyChristianClarkClayClintonCrittendenCumberlandDaviessEdmonsonElliottEstillFayetteFlemingFloydFranklinFultonGallatinGarrardGrantGravesGraysonGreenGreenupHancockHardinHarlanHarrisonHartHendersonHenryHickmanHopkinsJacksonJeffersonJessamineJohnsonKentonKnottKnoxLarueLaurelLawrenceLeeLeslieLetcherLewisLincolnLivingstonLoganLyonMadisonMagoffinMarionMarshallMartinMasonMcCrackenMcCrearyMcLeanMeadeMenifeeMercerMetcalfeMonroeMontgomeryMorganMuhlenbergNelsonNicholasOhioOldhamOwenOwsleyPendletonPerryPikePowellPulaskiRobertsonRockcastleRowanRussellScottShelbySimpsonSpencerTaylorToddTriggTrimbleUnionWarrenWashingtonWayneWebsterWhitleyWolfeWoodfordDate of Birth*You may type in your birth date month and year using the format dd/mm/yyyy Date Format: MM slash DD slash YYYY Which of the following best describes you?Foster ParentAdoptive ParentFoster and Adoptive ParentRelative/Fictive Kin CaregiverProspective Foster ParentProspective Adoptive ParentIf you are an adoptive parent, select all that apply. Adoption from foster care Domestic / infant adoption International adoption Relative adoption Not applicable / Not an adoptive parent If you are an active foster parent, which foster care agency are you associated with?KY Department for Community Based Services (DCBS)Private Child Placing Agency (PCP)Not applicable / Not an active foster parentIf Kentucky Private Child Placing Agency (PCP): Name of Organization:How would you describe your gender?MaleFemaleTransgender FemaleTransgender MaleGender Variant/Non-ConformingPrefer Not to AnswerHow would you describe your race/ethnic background (select all that apply)? Black non-Hispanic American Indian / Native American Asian or Pacific Islander Hispanic White non-Hispanic Unsure/Don’t know Prefer not to answer What is the highest educational degree you have completed?High School Diploma or GEDAssociatesBachelorsMastersDoctoralI do not have an educational degreePrefer not to answerWhat is your current employment status?Employed Full-timeEmployed Part-timeNot EmployedRetiredPrefer not to answerWhat is your current marital status?MarriedDomestic PartnershipWidowedDivorcedSeparatedNever marriedPrefer not to answerHow did you learn about Foster/Adoptive Parent Training & Support opportunities through the UK College of Social WorkDCBS Recruitment and Certification (R&C) StaffPCP Case ManagerWord of Mouth – i.e. Another foster/adoptive parentUK College of Social Work WebsiteASK Support Group Facilitator and/or TrainerEmail from gov.deliveryEmail Announcement from ASKASK Facebook PageASK offers specialized support groups designed to bring together foster/adoptive parents that have additional experiences in common. Please select any of the following specialized groups you would be interested in participating in or learning more about. Transracial Foster/Adoptive Parent Child Specific Foster Parent (Relative/Fictive-kin Caregiver) LGBTQ+ Foster/Adoptive Parent Caring for a child with medical complexities Single Foster/Adoptive Parent Foster/Adoptive Fathers Support Group Raising Children with ADHD Please list below any additional specialized support groups for foster/adoptive parents that you would be interested in.ASK offers an array of services to support foster/adoptive parents. Please select which of the following you are interested in (select all that apply): Support Groups Group Training One-on-one Support I would like to receive text alerts regarding upcoming ASK support groups and trainings? Message and data rates may apply.YesNoCEU Registration Demographic InformatonDo you have Credential(s)?*If applicable, please enter your Credentials separated by commas as you wish to see them displayed on a Certificate of Completion of a CE course. For example MSW, CSW, LSW YesNoCredentials*Do you have Professional License(s) associated with the above Credential(s)?*YesNoLicense Type (#1)*Please select a License TypeSocial WorkPsychologyCertified Alcohol and Drug CounselorLicensed Marriage and Family Therapist (LFMT)Licensed Professional Counselor (LPC)NursingLicense Number (#1)*License Expiration Date (#1)* Date Format: MM slash DD slash YYYY Do you have a second Professional License?*YesNoLicense Type (#2)*Please select a License TypeSocial WorkPsychologyCertified Alcohol and Drug CounselorLicensed Marriage and Family Therapist (LFMT)Licensed Professional Counselor (LPC)NursingLicense Number (#2)*License Expiration Date (#2)* Date Format: MM slash DD slash YYYY Do you have a third Professional License?*YesNoLicense Type (#3)*Please select a License TypeSocial WorkPsychologyCertified Alcohol and Drug CounselorLicensed Marriage and Family Therapist (LFMT)Licensed Professional Counselor (LPC)NursingLicense Number (#3)*License Expiration Date (#3)* Date Format: MM slash DD slash YYYY Are you employed by the University of Kentucky?*YesNoEmployer Name if not the University of KentuckyAre you employed at the College of Social Work?*YesNoRemember to click on the Activation Link in the email that is sent to you. You may need to check your Spam, Junk, or Trash folder to locate the email.CAPTCHA