Graduate School of Applied and Professional Psychology

Student: $25.00 (Must provide a photocopy of a valid student I.D.)

Professional: $125.00

Rutgers Faculty/Staff: $75 (Must provide a photocopy of a valid Rutgers I.D.)

GSAPP Alumni: $75.00

CEU Credits:

Psychology

Social Work

Education

Counseling

Total:

Annual GSAPP Cultural Conference 2009 Registration Form

Registration and Fees:

Fill out the On-line Registration and submit. Print out the Confirmation Page and choose your payment option.
*Please note: your registration is not complete until we receive your payment. *

Title:

Mrs

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip Code:

E-Mail Address

Phone:

Current Institution:

Position:

Student

Alumni

Faculty

Staff

Other

Breakout Sessions:

Please rank in order of preference. Every effort will be made to accommodate your first request.

Morning Breakout Sessions:

1. Effective Intervention for Improving Literacy Learning and Teaching Among Ethnic MinorityChildren in the Schools

2. The Culturally Responsive Classroom

3. Therapy with Latino Clients and Families

4. Empowering Racial & Ethnic Minority Lesbian, Gay, and Bisexual Youth in Schools and Communities

Afternoon Breakout Sessions:

1. Promoting Social/Emotional and Academic Resilience in Hispanic American Children in the Schools

2. Gangs and Their Cultural Identity in Schools and Communities

3. Working with Asian Youth, Adults and Families in Schools and Mental Health Agencies

4. Diversity/Multicultural Consultation and Training

Continuing Education Policy:

Credits:

6 CE credits for Psychologists
6 CEH for NJ & PA Social Workers (nonclinical)
6 Professional Development Hours for Teacher Certification
6 CEH for NJ Licensed Professional Counselors

APA: The Graduate School of Applied and Professional Psychology is approved by the American Psychological Association to offer continuing education for psychologists. The Graduate School of Applied and Professional Psychology maintains responsibility for the program. The Center for Applied Psychology at Rutgers, the State University of New Jersey, is registered as a NJDOE Professional Development Provider. Registration # 36

Continuing education hours (CEH) approved by the NJ Board of Social Work Examiners and the NJ Department of Education, approval code #1965.

The Rutgers School of Social Work is an NBCC approved continuing education provider and a co-sponsor of this event. The Rutgers School of Social Work may award NBCC approved clock hours for programs that meet NBCC requirements. The Rutgers School of Social Work maintains responsibility for the content of this program. NBCC Provider No. 6389.

Cancellation Policy:

A refund of your registration fee, minus a $25 processing fee, will be issued if you notify us in writing by October 6th. After that date, no refunds will be issued. If you are unable to attend you may send someone in your place, provided you notify us in advance.

Payment:

* Your registration is not complete until we receive your payment.*

After you finish the online registration print out a copy of the confirmation page.
To complete your registration select payment method:

1. Payment by credit card:
Call Mrs. Usha Yerramilly at 732-445-2000 x109 with your credit card information
or fill in your credit card information on a copy of the confirmation page and mail it to the address below.

2. Payment by check, money order or purchase order:
Mail a copy of the confirmation page and your check, money order or purchase order to the address below.
Please make payable to Rutgers, The State University of N.J.

Mailing Address:
Attn: Usha Yerramilly
Graduate School of Applied & Professional Psychology
Rutgers, The State University of NJ
152 Frelinghuysen Road
Piscataway, New Jersey 08854-8020

For Further Information, Please Contact:
Arlene Miller
Phone: 732-445-2000, ext. 110
Email:rellim@rci.rutgers.edu

Then select method of payment.