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Conference Registration
**Please print this page and return it to the address below**
Download PDF Form
Name _________________________________________________________________________________
Street _________________________________________________________________________________
City ____________________________________________________ Zip __________________________
Work Phone _______________________________________________________
Home Phone _______________________________________________________
E-Mail: ___________________________________________________________
School/District _________________________________________________________________________
Position _______________________________________________________________________________
Select from the following morning choices (either one full morning institute or two shorter sessions)
Indicate your choice for one Full Morning Institute (mark 1 for 1st choice, 2 for 2nd choice). If you select a full morning institute, do not select a shorter session.
Full Morning Institute (9:50-11:45 am)
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Choice 1: When grief enters the classroom |
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Choice 2: Pediatricians and psychiatric medications |
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Choice 3: Digital Support Services: Using Technology to help school counselors streamline instructional support processes |
OR
Indicate your two Professional Reflection Sessions (mark 1 for 1st choice, 2 for 2nd choice for each). If you select a shorter session, do not select a full morning institute.
Session 1 (9:50 - 10:45 a.m)
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Choice A: Communication, relationship and contact: Counselors as a valued resource to teachers |
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Choice B: School counselor accountability |
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Choice C: Defining the relationship between school counselors and mental health counselors in school-based mental health programs |
AND
Session 2 (10:50 - 11:45 a.m.)
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Choice D: Communicating our effectiveness: Action research skills for school counselors |
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Choice E: Who me? Becoming the leader you’re waiting for |
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Choice F: Running effective student support groups |
The Afternoon Workshop will be:
Gangs in urban, suburban, and rural schools (1:45-3:00 pm)
_____ Please check here if you are a National Certified Counselor and want Continuing Education Units
*If you are a current graduate student registering at the lower rate, please indicate your institution
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Cancellation two weeks prior to the conference will receive a full refund. No refund will be made if cancellation occurs within two weeks of the conference. You may substitute another person in your place. Please notify our office as soon as possible of any substitutions by calling (585) 395-2258. No refund will be given if you do not attend the conference.
Cost: _____$65 Early Bird Registration (Postmarked Before 7 December 2007)
_____$70 Regular Registration (Postmarked After 7 December 2007)
_____$50 for Graduate Students
_____$25 for Presenters
Make checks payable to: Western New York School Counselors Consortium | 
