CHECKLIST___APPLICATION ___ORDER OF REQUEST FOR TRAINING ___ CONTACT PERSON
INFORMATION
MAIL COMPLETE APPLICATION PACKAGE TO MOON’S BRIDGE, INC
C/O MONIKA SHUMBO-POISSANT, OTD, OTR/L, ATRIC
3958 SOUTH DEVANE DRIVE – YUMA, AZ – 85365
Cell Phone 605-430-9361 / Email – Moon@moonsbridge.com
There is no deadline for this application to be received by Moon’s Bridge, Inc. office. Trainings are ongoing based on the need of
the community, as well as the availability of an OTD to conduct the in-service training. All trainings will be conducted within the
San Luis, AZ community / Moons Bridge and/or at an agreed upon location. This may be include a local school site, the public
library and/or another location which is mutually agreed upon. NOTATION – ALL TRAININGS are conducted in the English
language.
The printed material will be provided in English.