PA Working with Children with Disabilities/Vicarious Trauma Registration Form

NRCAC and PA Chapter of CACs and MDTs Logos

Thanks for your interest in this training event! Northeast Regional Children's Advocacy Center and the Pennsylvania Chapter of Children's Advocacy Centers and Multidisciplinary Teams are pleased to offer this two-day training event in State College, PA on September 24-25, 2018. Day 1 of the training will be a full-day training on Working with Children with Disabilities, facilitated by Staci Whitney of Bivona Child Advocacy Center and Modell Consulting Group. Day 2 will be a full-day training on Vicarious Trauma and Building Resiliency, facilitated by Sue Ascione and Michele Mullen of NRCAC. If you have any questions, please contact Sue Ascione at sue@nrcac.org.

Participant spots are limited. Please submit your registration no later than August 10, 2018.

Registrant Information

First Name

Last Name

Position

Organization

City

State

I plan to attend...

Working with Children with Disabilities Training - Monday, September 24thVicarious Trauma Training - Tuesday, September 25thBoth Trainings - Monday, September 24th and Tuesday, September 25th

Lodging Needs

NRCAC will provide a limited number of scholarships to cover lodging for the evenings of September 23-24 for this training on a first come, first served basis. If you are granted one of these scholarships, your room + taxes/fees will be billed to a master bill. All reservations, regardless of scholarship status, will be made in advance by NRCAC and your room will be reserved under your name. The hotel will still require a credit card at check in for incidentals such as parking, room service or internet. NRCAC cannot pay or reimburse any incidental charges.

Sunday, September 23th

Yes, please book my roomNo, I do not need a room

Monday, September 24th

Yes, please book my roomNo, I do not need a room

Please consider me for a lodging coverage scholarship.

Please let us know if you require any additional accommodations or special arrangements:

By submitting this form, you are agreeing to give NRCAC at least 72 hours notice, prior to the above event, if you aren't able to attend nor utilize your hotel room. If less than 72 hours notice is given, you will be responsible for the cost of your reservation.

I agree

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