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/Adoptive Kinship/Fictive-Kin Caregivers Kinship/Fictive-Kin CaregiversIn what county do you live?*Please select you CountyAdairAllenAndersonBallardBarrenBathBellBooneBourbonBoydBoyleBrackenBreathittBreckinridgeBullittButlerCaldwellCallowayCampbellCarlisleCarrollCarterCaseyChristianClarkClayClintonCrittendenCumberlandDaviessEdmonsonElliottEstillFayetteFlemingFloydFranklinFultonGallatinGarrardGrantGravesGraysonGreenGreenupHancockHardinHarlanHarrisonHartHendersonHenryHickmanHopkinsJacksonJeffersonJessamineJohnsonKentonKnottKnoxLarueLaurelLawrenceLeeLeslieLetcherLewisLincolnLivingstonLoganLyonMcCrackenMcCrearyMcLeanMadisonMagoffinMarionMarshallMartinMasonMeadeMenifeeMercerMetcalfeMonroeMontgomeryMorganMuhlenbergNelsonNicholasOhioOldhamOwenOwsleyPendletonPerryPikePowellPulaskiRobertsonRockcastleRowanRussellScottShelbySimpsonSpencerTaylorToddTriggTrimbleUnionWarrenWashingtonWayneWebsterWhitleyWolfeWoodfordWhat is your age?* How 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 Do you consider yourself to be:* Heterosexual or straight Gay or lesbian Bisexual Prefer not to answer What is the highest educational degree you have completed?* High School Diploma or GED Associates Bachelors Masters Doctoral I do not have an educational degree Prefer not to answer What is your current employment status?* Employed Full-time Employed Part-time Not Employed Retired Prefer not to answer Which of the following best describes the occupation that you are currently in? If retired, please select the category that best describes the occupation from which you are retired.*Please select your OccupationManagementBusiness and Financial OperationsComputer and MathematicalArchitecture and EngineeringLife, Physical, and Social ScienceCommunity and Social ServicesLegalEducation, Training, and LibraryArts, Design, Entertainment, Sports, and MediaHealthcare Practitioners and TechnicalHealthcare SupportProtective ServiceFood Preparation and Serving RelatedBuilding and Grounds Cleaning and MaintenancePersonal Care and ServiceSales and RelatedOffice and Administrative SupportFarming, Fishing, and ForestryConstruction and ExtractionInstallation, Maintenance, and RepairProductionTransportation and Material MovingMilitary SpecificWhat is your current marital status?* Married Domestic Partnership Widowed Divorced Separated Never married Prefer not to answer How would you describe your kinship arrangement?* Informal Formal (via CPS action) Which of the following best describes you?* Relative / Kinship caregiver with temporary custody Relative / Kinship caregiver with permanent custody Relative/Kinship caregiver that has, or is in the process of, adoption Fictive kin caregiver with temporary custody Fictive kin caregiver with permanent custody Fictive kin caregiver who has, or is in the process of, adoption Relative/Kinship caregiver no established custody or guardianship Fictive kin caregiver with no established custody or guardianship Relative / Kinship / Fictive kin who is also an active foster parent caring for relative or fictive kin children that are in the custody of the state (if so, please select the Foster/Adoptive type of registration under “Which type of registration would you like?” above) In total, how long have you have been a Kinship or Fictive-kin provider?Years*Please enter a number from 0 to 100.Months*Please enter a number from 0 to 12.Many Kinship and Fictive-kin caregivers experience barriers to receiving services that they need to care for relative child(ren) in their home. Please select the statements that best describe your family. Please select all that apply.* Have to wait too long to get services Can’t find the kind of services my child and family needs Helping professionals who don’t understand adoption issues Helping professionals who don’t understand or respect my family’s race/culture Do not meet service eligibility requirements Medical doctors who do not accept Medicaid Dentists who do not accept Medicaid Counselors who do not accept Medicaid Services are too short for our needs Services are too far away from where I live Services are too expensive Services do not exist in my community Do not know how to find out about available services Other, please specify below. None. We have not experienced any of the barriers above. Describe other barriers you may have experienced to receiving services.* KIN-VIP offers specialized support groups designed to bring together Kinship / Relative / Fictive Kin caregivers 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.* Relative caregivers specifically Fictive kin caregivers specifically Transracial family caregivers LGBTQ+ caregivers Caring for a child with medical complexities Single caregivers Caring for a child with special needs (behavioral, educational, etc.) Grandparents caregivers Caring for Teens Parenting Children/Youth with Difficult Behaviors Parenting Children/Youth with Trauma Please list below any additional specialized support groups for Kinship / Relative / Fictive Kin caregivers that you would be interested in. The Kentucky Kinship Resource Center (KKRC) offers an array of services to support Kinship / Relative / Fictive Kin caregivers. Please select which of the following you are interested in (select all that apply)* Support Groups Online Training One-on-one Support Advisory Councils How did you learn about Kinship / Relative / Fictive kin caregiver support and training opportunities through the UK College of Social Work?* Kinship Hotline FRYSC (Family Resource Coordinator) at a child’s school Word of Mouth – i.e. Another relative/fictive kin caregiver UK College of Social Work Website KIN-VIP Support Group Facilitator Another relative caregiver support group facilitator Email from ky.gov delivery Email Announcement from KY-KINS Announcement from the GAP (Grandparents as Parents Conference) Announcement from Kentucky Youth Advocates Local Health Department Local Cooperative Extension Office Local Community Program (Community Action Center, Community Mental Health Center) Foster/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 MM slash DD slash YYYY Which of the following best describes you? Foster Parent Adoptive Parent Foster and Adoptive Parent Relative/Fictive Kin Caregiver Prospective Foster Parent Prospective Adoptive Parent If 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 parent If Kentucky Private Child Placing Agency (PCP): Name of Organization: How would you describe your gender? Male Female Transgender Female Transgender Male Gender Variant/Non-Conforming Prefer Not to Answer How 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 GED Associates Bachelors Masters Doctoral I do not have an educational degree Prefer not to answer What is your current employment status? Employed Full-time Employed Part-time Not Employed Retired Prefer not to answer What is your current marital status? Married Domestic Partnership Widowed Divorced Separated Never married Prefer not to answer How did you learn about Foster/Adoptive Parent Training & Support opportunities through the UK College of Social Work DCBS Recruitment and Certification (R&C) Staff PCP Case Manager Word of Mouth – i.e. Another foster/adoptive parent UK College of Social Work Website ASK Support Group Facilitator and/or Trainer Email from gov.delivery Email Announcement from ASK ASK Facebook Page ASK 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. Yes No CEU 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 Yes No Credentials* Do you have Professional License(s) associated with the above Credential(s)?* Yes No License 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)* MM slash DD slash YYYY Do you have a second Professional License?* Yes No License 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)* MM slash DD slash YYYY Do you have a third Professional License?* Yes No License 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)* MM slash DD slash YYYY Are you employed by the University of Kentucky?* Yes No Are you a Field Instructor for the College of Social Work?* Yes No Employer Name if not the University of Kentucky Are you employed at the College of Social Work?* Yes No Remember to click on the Activation Link in the email that is sent to you. 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