Peer Counselors ONLY

WIC Breastfeeding Curriculum Level 2: Registration Request

Please complete the form below to request registration for WIC Breastfeeding Curriculum Level 2 for Peer Counselors. You must click "Submit" at the bottom of the page to complete the registration request.
 
Review the WIC Breastfeeding Curriculum Level 2 for Peer Counselors FAQ here.
 
 
* Indicates required field. 

Contact Information

Please provide the correct mailing address. This address will be utilized for the shipment of training materials.

Employer Information

Are you currently employed with a local WIC agency? *

Supervisor's Contact Information

Secondary Contact's Information

Participants who are not employed with a local WIC agency must provide contact information for a secondary contact, such as your supervisor's information, community partner contact, etc. The individual will only be contacted in the event that we are not able to reach you. 

Training Session Dates

Each training session will close 10 calendar days prior to the scheduled dates.
November 2023-February 2024: This training is comprised of both virtual (Days 1, 2, 3, and 6) and consecutive in-person (Days 4 and 5) days. Participants are required to travel to the training location for the in-person days. 
 
Starting March 2024: This training is comprised of both virtual (Days 1, 2, 5, and 6) and consecutive in-person (Days 3 and 4) days. Participants are required to travel to the training location for the in-person days. 
If you have questions, contact the WIC Lactation Area Training Center for Health whose training session you will be attending:
Please request the training session you would like to attend. *
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REGIONAL LACTATION TRAINERS:
 
Region 1
Georganna Cogburn, MS, RD, LDN, IBCLC
Georganna.Cogburn@mahec.net
 
Region 2
Hannah Edens, MPH, RD, LDN, IBCLC
 
Region 3
Rachel Dean, MPH, RDN, LDN, IBCLC, RLC

Requirements for Participation

By checking the boxes below, you are confirming that you meet the requirements for participation outlined in the WIC Breastfeeding Curriculum Level 2 for Peer Counselors training FAQ (Questions 1-2 and 19-21)? *

Requirements for Participation

By checking the boxes below, you are confirming that you meet the requirements for participation outlined in the WIC Breastfeeding Curriculum Level 2 for Peer Counselors training FAQ (Questions 1-2 and 19-21)? *

Registration Request Confirmation

Upon completion of the registration request for WIC Breastfeeding Curriculum Level 2 training for Peer Counselors:
  1. The Peer Counselor and their supervisor will receive an automated email confirming that their registration request has been submitted to the WIC Lactation Area Training Center for Health for the training session selected.
  2. Local WIC agency staff only: Within five (5) business days receipt of the registration request, the WIC Lactation Area Training Center for Health will confirm that the Peer Counselor has successfully completed WIC Breastfeeding Support Level 1 training and email the registration confirmation with information specific to their selected training session.
By signing below, you are verifying that you reviewed WIC Breastfeeding Curriculum Level 2 training for Peer Counselors FAQ and meet all requirements for participation *
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