Conference Registration Form

APOSW’s 42nd Annual Conference Registration
April 11-13, 2018 • Austin, TX

(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.

Email: info@aposw.org

* 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:

Degrees/Credentials:

Affiliation:

 

Department:

First Time Attendee:

APOSW Past Board Member:

Mailing Address and Contact Information

Address:

 

Address 2:

City:

State/Province:

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

Zip Code:

Country:

   (You must select a country.)

 

Work Phone:

  (###-###-####)

Fax:

  (###-###-####)

Email:

Conference Registration (Early Bird Pricing - Last Day is March 7, 2018)

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 info@aposw.org 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

Until
3/07/18

After
 3/07/18

 

Full Conference Registration (Includes Celebration/Dinner)

* 2018 Full Member  (Degree in Social Work, Work in Pediatric Oncology):

$380

$480

 

* 2018 Associate Member (Non Social Work Degree):

$450

$550

 

* 2018 Student Member  (Enrolled in Undergraduate or Graduate Social Work Program):

$160

$260

 

2018 Student  (NOT a Member of APOSW):

$210

$310

 

* 2018 Retired Member:

$190

$240

 

2018 Non-Member of APOSW:

$575

$675

 

 

Early Bird Discount

Until
3/07/18

After
 3/07/18

 

One-Day Conference Registration

Select a day:  Wednesday, April 11  |  Thursday, April 12  |  Friday, April 13

 

 

 

* 2018 APOSW Member:

$150

$250

 

2018 Non-Member of APOSW:

$200

$300

 

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

 

 

 

I Will attend
(Check below if attending)

 

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

Special Dietary Requirement:

 (OR)

Tuesday, April 10th, 1:30 PM - 5:00 PM

 

 

Pre-Institute 2: Finding Your Rhythm: Creating Pathways to
                                  SW Wellness

Tuesday, April 10th, 2:00 PM - 5:00 PM

 

 

Pre-Institute 2 Kayaking Fee:
(Also check that you are attending “Pre-Institute 2” above, if choosing this event)

$20

 

 

SEMINARS

 

Select one seminar below
Wednesday, April 11, 2018
All seminars are 10:15 AM - 12:15 PM

 

BREAKOUTS
Please select one session per breakout:

 

Wednesday, April 11, 2018

 

 

 

BREAKOUT 1
1:30 PM - 2:45 PM

 

 

 

 

Thursday, April 12, 2018

 

 

BREAKOUT 2
10:30 AM - 11:45 PM

BREAKOUT 3
1:45 PM - 3:00 PM

 

 

 

 

Friday, April 13, 2018

BREAKOUT 4
10:30 AM -11:45 AM

 

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)

 

 

 

NETWORKING LUNCHEON (Selection required)

Thursday, April 12, 12:00 PM - 1:30 PM

Meet conference attendees and exchange contact information. The APOSW Business Meeting will follow lunch and is open to all APOSW members. We will reveal the location of the 2019 APOSW Annual Conference.

 

Special Dietary Requirement:    

 

 

 

 

I Will attend
(Check below if
attending)

Special Interest Group

Thursday, April 12, 3:15 PM - 4:45 PM

Interested in being a SIG facilitator:    

 

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

 

Interactive Educational Sessions

Friday, April 13, 12:00 PM - 1:15 PM

 

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

Special Dietary Requirement:    

 

 

 

 

 

 

 

 

Celebration/Dinner (Registration for the celebration/dinner is not available after March 28, 2018)

I Will attend
(Indicate below)

APOSW 42ND CELEBRATION (Selection required)

Thursday, April 12, begins at 6:30 PM

Celebration/Dinner is included in registration fee .
Join us for a fantastic evening of entertainment, networking and celebration at the South Congress Hotel. Rookie of the Year and the Social Worker of the Year awards will be presented.
There will be a cash bar and a seated dinner.

 

Special Dietary Requirement of Attendee

 

I will bring a Guest (additional cost of $80 per person)
Total will be added to your registration amount on the next page.

Number of Guests:

Special Dietary Requirement of Guest:  

 

 

 

 

I Will attend
(Check below if
attending)

MORNING MEDITATION

Thursday, April 12, 6:15 AM - 7:15 AM

 

 

Friday, April 13, 6:30 AM - 7:30 AM

 

 

 

 

YOGA

Friday, April 13, 6:30 AM - 7:30 AM

 

 

 

 

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 28th, 2018). Cancellations must be sent in writing via email to info@aposw.org. 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.

 

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