LICENSING - website listing form

NEW WAYS FOR FAMILIES®

This website listing form supplements the Licensing Agreement.

Enter your information exactly as you want it listed on the website. Only licensed providers will be listed on our website. Please see the Licensing page for more information.
Enter your information exactly as you want it listed on the website. Only licensed providers will be listed on our website. Please see the Licensing page for more information.
What type of professional are you? *
Please enter the following information exactly as you want it listed on the website. *
Please enter the following information exactly as you want it listed on the website.
Licensing Agreement *
Please indicate whether you have submitted the online Licensing Agreement.
Program Models to be used *
Which program model(s) do you want to use?
When did you complete the New Ways Training? *
When did you complete the New Ways Training?
Training Completed: *