The SAMHSA Human Services Workforce for Children and Families Project

Samhsa Electronic Resource Contributor Form
Your Name:
email address:
Organization Name:
Title of Electronic Resource:
URL of Electronic Resource:
Author/s of Electronic Resource Last Name, First Name, MI; separate multiple authors by semicolons
Place of Publication:
Publisher/Agency:
Date Of Publication:
Continuing Education Units:	Yes No
Pre-Test:	Yes No
Post-Test:	Yes No
Certificate:	Yes No
Cost:
Format (Select all that apply):	PDF HTML XML Print Multimedia Interactive CD-ROM E-Mail Modular Online Tutorial Online Exam
Address Line 1:
Address Line 2:
City:
State:
Postal Code:
Phone:
Fax:
URL of your Organization:
Abstract: (250 words maximum. A brief summary or informative description of the content of the web resource, course or document. May include, or be based upon, original author abstracts, course descriptions found in online catalogs, tables of contents, or course syllabi.)
Content Keywords (Select all that apply):	Children Children (0-3) Children (0-6) Children (6-11) Children (8-11) Pre-Adolescents (9-12) Adolescents (12-18) Family Centered Cultural Competency Inter-agency Programs Strength-Based Substance Use Disorders Assessment Evidence Based

Individuals who wish to submit a web-based tutorial or training to this directory for consideration for inclusion, please complete this form. This form will be reviewed by our librarians and they will contact you if there are any questions.
Thank you for submitting a resource.
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Louis de la Parte Florida Mental Health Institute (FMHI)
a college of the University of South Florida