Conference Registration Form

APOSW’s 43rd Annual Conference Registration
April 8-10, 2019 • Phoenix, AZ

(This form is for Credit Card Registrations Only)
Credit card payments are ONLY available through on-line registration.
If paying for your registration by check, US travelers’s checks, or US money orders:
please download and complete this version of the Conference Registration Form.(PDF)
A separate online registration must be completed for each registrant.


* NOTE: To receive member pricing, active members must first enter their login information to verify membership:
   Enter member login information.

Registration Information

First Name:

Middle Initial:

Last Name:




First Time Attendee:

APOSW Past Board Member:

Mailing Address and Contact Information



Address 2:



  (Enter 2-character abbreviation only. if US or Canada. E.g. NY)

Zip Code:


   (You must select a country.)


Work Phone:





Conference Registration (Early Bird Pricing - Last Day is March 4, 2019)

PLEASE NOTE: Conference registration does not include APOSW membership fee.
To become a member or renew your membership, BEFORE you register for the conference,
click here for membership form and details. Membership must be current to qualify for member pricing.
If you are unsure of your membership status, email for verification.

Note: Registration is not complete until payment is received in full.
All Conference Registration Fees include the cost of Continuing Education Certificates (CEUs).


(Selection Required)


Early Bird Discount




Full Conference Registration

* 2019 Full Member  (Degree in Social Work, Work in Pediatric Oncology):




* 2019 Associate Member (Non Social Work Degree):




* 2019 Student Member  (Enrolled in Undergraduate or Graduate Social Work Program):




2019 Student  (NOT a Member of APOSW):




* Retired Member:




2019 Non-Member of APOSW:





Early Bird Discount




One-Day Conference Registration

Select a day:  Monday, April 8  |  Tuesday, April 9  |  Wednesday, April 10




* 2019 APOSW Member:




2019 Non-Member of APOSW:




Roommate Locator

I would like assistance locating a:

Breakout Session Monitor:

Interested in being a breakout session monitor:

Breakout Sessions (Please select only one session/event per time slot and select ONLY ONE SEMINAR)

Download the Conference Brochure for Session and Agenda information (PDF)



PRE-INSTITUTE (You may only choose one)




I Will attend
(Check below if attending)


Pre-Institute 1: An Intro to Pediatric Hematology Oncology
                                  Social Work (Lunch included)

Special Dietary Requirement:

 --- OR ---

Sunday, April 7th, 1:30 PM - 5:00 PM



Pre-Institute 2: Solo Social Workers: Traveling the Diverse
                                  Landscape Alone and Together

Sunday, April 7th, 3:30 PM - 5:00 PM









Select one seminar below
Monday, April 8, 2019
All seminars are 10:15 AM - 12:15 PM


Please select one session per breakout:


 Monday, April 8, 2019




1:30 PM - 2:45 PM





Tuesday, April 9, 2019



8:30 AM - 9:45 AM

2:00 PM - 3:15 PM





Wednesday, April 10, 2019

10:45 AM -12:00 PM


Special Events and Meetings

Please check the box at right to pre-register for the No Charge special events and meetings if you plan to attend.  Download the Brochure (PDF) for more information on Events and Meetings

I Will attend
(Indicate below)




(Selection required)

Tuesday, April 9, 11:45 AM - 1:45 PM

Meet conference attendees and exchange contact information. The APOSW Business Meeting will follow lunch and is open to all APOSW members.


Special Dietary Requirement:    





I Will attend
(Check below if

Special Interest Group

Tuesday, April 9, 10:00 AM - 11:30 AM

Interested in being a SIG facilitator:    


Select one SIG to attend:      
(Required only if a SIG is selected)


     --- OR ---

Focus Group - What is COG, and What Does That
                                Have to Do with Social Work?

Tuesday, April 9, 10:00 AM - 11:00 AM

Interactive Educational Sessions

Wednesday, April 10, 12:15 PM - 1:45 PM


Select one session to attend:
(Required only if an Interactive Educational Session is selected)

Special Dietary Requirement:    






Photography Release
APOSW reserves the right to use videos, audio and photographs of conference attendees, exhibitors, sponsors, and speakers taken during the conference for future educational and marketing purposes.

Cancellation Policy
In order to accommodate unexpected emergencies, we will accept notification of cancellations up to 10 business days prior to the start of the conference (March 25th, 2019). Cancellations must be sent in writing via email to Refunds will be issued less a $100 processing fee.

NOTE: Pressing “Continue” button will allow you to review your choices and make changes before submitting your registration.


Copyright © 2019 Association of Pediatric Oncology Social Workers. All rights reserved
Developed and hosted by
Questions and comments to