{"id":33679,"date":"2024-10-09T09:59:26","date_gmt":"2024-10-09T16:59:26","guid":{"rendered":"https:\/\/www.breining.edu\/?page_id=33679"},"modified":"2024-10-09T09:59:27","modified_gmt":"2024-10-09T16:59:27","slug":"student-info-20-hr-global-bundle-four","status":"publish","type":"page","link":"https:\/\/www.breining.edu\/index.php\/online-continuing-education-ce\/student-info-20-hr-global-bundle-four\/","title":{"rendered":"STUDENT INFO: 20-hr GLOBAL Bundle &#8211; FOUR"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-109\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-109\" value=\"1775305611\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"109\" id=\"\"><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Instructions<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3400\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField3401\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3401\" class=\"vfb-control-label\"><\/label><div class=\"\"><h2><span style=\"color: #008000;\">3 easy steps:<\/span><\/h2>\n<ul>\n<li>\n<h4>Complete the <span style=\"color: #008000;\">STUDENT INFORMATION<\/span> and the <span style=\"color: #008000;\">COURSE EVALUATION<\/span> sections.<\/h4>\n<\/li>\n<li>\n<h4>Complete the <span style=\"color: #008000;\">ANSWER SHEET<\/span>. After you answer at least 70% of the questions correctly, you will see a link to continue to the payment page.<\/h4>\n<\/li>\n<li>\n<h4>Make your credit card <span style=\"color: #008000;\">PAYMENT<\/span> for the course, and you will then be automatically emailed a CE Completion Certificate.<\/h4>\n<\/li>\n<\/ul>\n<hr \/>\n<h2><span style=\"color: #000000;\"><span style=\"color: #008000;\">Instructions<\/span><br \/>\n<\/span><\/h2>\n<h3><strong><span style=\"color: #000000;\">Course Material and Questions<\/span><\/strong><\/h3>\n<ul>\n<li>\n<h4>If you have not already obtained the <strong>Course Material<\/strong> packet, which includes the Course Questions, select this link for the Course Material and Questions download: <a href=\"https:\/\/www.e-junkie.com\/ecom\/gb.php?&amp;c=cart&amp;ejc=2&amp;cl=106774&amp;i=1860569\">GB22-04 Course Material<\/a><\/h4>\n<\/li>\n<li>\n<h4>The Course Material and Questions packet is a <strong>free download<\/strong>.<\/h4>\n<\/li>\n<\/ul>\n<h3><strong><span style=\"color: #000000;\">Online Answer Sheet<\/span><\/strong><\/h3>\n<ul>\n<li>\n<h4>After you answer at least 70% of the questions correctly, you will select a link to continue to the payment page.<\/h4>\n<\/li>\n<li>\n<h4>At the payment page, you will be able to make a credit card payment of $79 for the course, and will then be automatically emailed a Completion Certificate.<\/h4>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Student Info<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3402\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\"><h2><span style=\"color: #008000;\">Student Information\r\n<\/span><\/h2><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField3403\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3404\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3404\" class=\"vfb-control-label\">Full Name: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3404\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3404\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3405\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3405\" class=\"vfb-control-label\">Street Address <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3405\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3405\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3406\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3406\" class=\"vfb-control-label\">City <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3406\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3406\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3407\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3407\" class=\"vfb-control-label\">State or Province <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3407\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3407\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3408\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3408\" class=\"vfb-control-label\">ZIP Code (or Postal Code) <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3408\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3408\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField3409\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3409\" class=\"vfb-control-label\">Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please carefully enter your email address, which we will use to send you the Completion Certificate.<\/span><input id=\"vfb-field-3409\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-3409\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-email\" id=\"vfbField3410\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3410\" class=\"vfb-control-label\">Confirm Email Address: <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-3410\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" data-vfb-equalto=\"#vfb-field-3409\" type=\"email\" name=\"vfb-field-3410\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3411\"><label for=\"vfb-field-3411\" class=\"vfb-control-label\">What type of device you are using to complete this online Answer Sheet? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"Desktop computer\">Desktop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"Laptop computer\">Laptop computer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"Tablet\">Tablet<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"Smart phone\">Smart phone<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3411-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3411\" value=\"I do not know\">I do not know<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3412\"><label for=\"vfb-field-3412\" class=\"vfb-control-label\">Which Web browser are you using to complete this online Answer Sheet form? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Google Chrome\">Google Chrome<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Safari\">Safari<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Microsoft Edge\">Microsoft Edge<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Firefox\">Firefox<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Opera\">Opera<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Internet Explorer\">Internet Explorer<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Brave\">Brave<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-7\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"Other\">Other<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3412-8\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3412\" value=\"I do not know\">I do not know<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField3413\"><label for=\"vfb-field-3413\" class=\"vfb-control-label\">Why are you completing this course? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please select all that apply.<\/span><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" required=\"required\" type=\"checkbox\" name=\"vfb-field-3413[0]\" value=\"1\">Licensing agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[1]\" value=\"1\">Certification agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[2]\" value=\"1\">Registration requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[3]\" value=\"1\">Employer requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[4]\" value=\"1\">Continuing Education requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[5]\" value=\"1\">License or certification renewal requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[6]\" value=\"1\">Other agency requirement<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3413-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3413\" type=\"checkbox\" name=\"vfb-field-3413[7]\" value=\"1\">Other reason<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3414\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3414\" class=\"vfb-control-label\">Name of agency requiring completion <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">Please provide the name of the agency requiring completion of the course. If it is for a different reason, please answer, \"Not applicable.\"<\/span><input id=\"vfb-field-3414\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"text\" name=\"vfb-field-3414\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-text\" id=\"vfbField3415\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3415\" class=\"vfb-control-label\">Do you hold professional healthcare and\/or counseling Licenses \/ Certifications?<\/label><div><span class=\"vfb-help-block\">If applicable, please identify professional healthcare license(s) and\/or certification(s) that you currently hold, and include the name(s) of the agency or agencies.\r\n<\/span><input id=\"vfb-field-3415\" class=\"vfb-form-control\" placeholder=\"\" type=\"text\" name=\"vfb-field-3415\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField3416\"><label for=\"vfb-field-3416\" class=\"vfb-control-label\">Do you hold internationally-awarded Breining Institute credentials?<\/label><div><span class=\"vfb-help-block\">If you have earned one or more internationally-awarded credentials from Breining Institute, please select which ones below (select all that apply):<\/span><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[0]\" value=\"1\">Registered Addiction Specialist (RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[1]\" value=\"1\">Advanced RAS - Level II (RAS II)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[2]\" value=\"1\">Advanced RAS - Level III (RAS III)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[3]\" value=\"1\">Masters Level - RAS (M-RAS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[4]\" value=\"1\">Clinical Supervisor Credential (CSC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-5\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[5]\" value=\"1\">Master Counselor in Addictions (MCA)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-6\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[6]\" value=\"1\">Certified Women's Treatment Specialist (CWTS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-7\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[7]\" value=\"1\">Medication-Assisted Treatment Counselor (MATC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-8\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[8]\" value=\"1\">Forensic Addictions Counselor (FAC)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-9\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[9]\" value=\"1\">Certified Co-occurring Disorders Specialist (CCDS)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-10\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[10]\" value=\"1\">Certified Case Manager Interventionist - Associate Level (CCMI-A)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-11\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[11]\" value=\"1\">Certified Case Manager Interventionist (CCMI)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3416-12\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3416\" type=\"checkbox\" name=\"vfb-field-3416[12]\" value=\"1\">Certified Case Manager Interventionist - Masters Level (CCMI-M)<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Course Evaluation<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3417\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\"><\/div><span class=\"vfb-help-block\"><h2><span style=\"color: #008000;\">Course Evaluation<\/span><\/h2><\/span><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField3418\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3419\"><label for=\"vfb-field-3419\" class=\"vfb-control-label\">Did the course cover the content you were expecting? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3419-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3419\" value=\"Yes\">Yes<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3419-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3419\" value=\"It covered some of the information expected\">It covered some of the information expected<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3419-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3419\" value=\"No\">No<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3419-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3419\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3420\"><label for=\"vfb-field-3420\" class=\"vfb-control-label\">Rate the overall value of the information presented in this course. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3420-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3420\" value=\"Extremely valuable\">Extremely valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3420-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3420\" value=\"Somewhat valuable\">Somewhat valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3420-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3420\" value=\"Not very valuable\">Not very valuable<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3420-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3420\" value=\"Other\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3421\"><label for=\"vfb-field-3421\" class=\"vfb-control-label\">Rate your overall experience of taking this online course. <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3421-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3421\" value=\"5 stars: Excellent\">5 stars: Excellent<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3421-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3421\" value=\"4 stars: Very good\">4 stars: Very good<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3421-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3421\" value=\"3 stars: Average\">3 stars: Average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3421-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3421\" value=\"2 stars: Below average\">2 stars: Below average<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3421-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3421\" value=\"1 star: Not good\">1 star: Not good<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField3422\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3422\" class=\"vfb-control-label\">Do you have any comments or suggestions about this course?<\/label><div><span class=\"vfb-help-block\">Your evaluation of this online course is important to Breining Institute. We will use your evaluation to improve our future offerings of this and other online education courses. <\/span><textarea id=\"vfb-field-3422\" class=\"vfb-form-control\" placeholder=\"\" rows=\"10\" name=\"vfb-field-3422\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField3423\"><label for=\"vfb-field-3423\" class=\"vfb-control-label\">How did you find out about this course? <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3423-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3423\" required=\"required\" type=\"checkbox\" name=\"vfb-field-3423[0]\" value=\"1\">Friend, colleague or co-worker<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3423-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3423\" type=\"checkbox\" name=\"vfb-field-3423[1]\" value=\"1\">Social media (such as Facebook, LinkedIn)<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3423-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3423\" type=\"checkbox\" name=\"vfb-field-3423[2]\" value=\"1\">Program Supervisor or Manager<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3423-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3423\" type=\"checkbox\" name=\"vfb-field-3423[3]\" value=\"1\">Licensing or Certification agency<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-3423-4\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-3423\" type=\"checkbox\" name=\"vfb-field-3423[4]\" value=\"1\">Other<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-radio\" id=\"vfbField3424\"><label for=\"vfb-field-3424\" class=\"vfb-control-label\">Years in AOD\/SUD and\/or Healthcare Profession <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><span class=\"vfb-help-block\">How long have you been providing professional AOD\/SUD counseling services, or have been in the healthcare profession?<\/span><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"Less than 1 year\">Less than 1 year<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"1 - 3 years\">1 - 3 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"3 - 5 years\">3 - 5 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"5 - 10 years\">5 - 10 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"10 - 15 years\">10 - 15 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"15 - 20 years\">15 - 20 years<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-3424-6\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-3424\" value=\"More than 20 years\">More than 20 years<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><\/section><section class=\"vfb-page-section\"><h3 class=\"vfb-page-title\">Answer Sheet<\/h3><div class=\"vfb-col-12 vfb-fieldType-page-break\" id=\"vfbField3425\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-instructions\" id=\"vfbField3426\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3426\" class=\"vfb-control-label\"><\/label><div class=\"\"><h4><span style=\"color: #ff0000;\">The Completion Certificate Fee for this course is $79.<\/span><\/h4>\n<h4>Your next step is to complete the online ANSWER SHEET.<\/h4>\n<h4>Select the \u201cSubmit\u201d button below <span style=\"color: #ff0000;\">when you are ready to complete the online Answer Sheet<\/span>.<\/h4>\n<\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-captcha\" id=\"vfbField3427\"><div class=\"vfb-form-group\"><label for=\"vfb-field-3427\" class=\"vfb-control-label\">Captcha <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"g-recaptcha\" data-sitekey=\"6LdWgN0UAAAAAM_hb1SqmzT2DP4J1X289K2epOVA\"><\/div><input type=\"hidden\" name=\"_vfb_recaptcha_enabled\" value=\"1\" id=\"\"><div class=\"vfb-has-error\" id=\"vfb-recaptcha-error\"><span class=\"vfb-help-block\">reCAPTCHA is required.<\/span><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField3428\"><button id=\"vfb-field-3428\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Submit<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/section><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":555,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-33679","page","type-page","status-publish","czr-hentry"],"_links":{"self":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/33679","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/comments?post=33679"}],"version-history":[{"count":1,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/33679\/revisions"}],"predecessor-version":[{"id":33680,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/33679\/revisions\/33680"}],"up":[{"embeddable":true,"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/pages\/555"}],"wp:attachment":[{"href":"https:\/\/www.breining.edu\/index.php\/wp-json\/wp\/v2\/media?parent=33679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}