April 8, 2019 CEUs

Clinical Supervision
9:00 AM - 12:15 PM

3.0 CEUs: LSW/LISW, RN (via reciprocity), PC/PCC, BELTSS
Satisfies Supervision requirement

 

 

Chronic Pain and Addiction
1:15 PM - 4:30 PM

3.0 CEUs: LSW/LISW, RN (via reciprocity), PC/PCC, BELTSS

_________________________________________________
 

Holiday Inn Belden Village

4520 Everhard Rd. NW

Canton, OH  44718

 
 
Lunch provided for all-day attendees
12:15-1:15 PM

Registration

Quantity
Price
Total
Enter # of AM Session registrations you are purchasing

Morning Session ONLY

X
$
45.00=
$
0

Enter # of PM Session registrations you are purchasing

Afternoon Session ONLY

X
$
45.00=
$
0

Enter # of ALL DAY Session registrations you are purchasing

Both AM and PM Sessions

X
$
75.00=
$
0

Final Total:
$
0

Attendee Information

Type of Licensure*
  • LSW/LISW
  • PC/PCC
  • RN (by reciprocity with SW Board)
  • LNHA
  • Certificate of Attendance/No Licensure
Full License # (or N/A if none):*
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Additional Attendee Information

If you are registering more than one person, enter additional attendee information below:

Guest #1 Name (First & Last)
Guest #1 Email Address
Guest #1 Type of Licensure
  • LSW/LISW
  • RN (via reciprocity)
  • PC/PCC
  • LNHA
  • Certificate of Attendance (no licensure)
Guest #1 Full License #:
Guest #2 Name (First & Last)
Guest #2 Email Address
Guest #2 Type of Licensure
  • LSW/LISW
  • PC/PCC
  • RN (via reciprocity)
  • LNHA
  • Certificate of Attendance (no licensure)
Guest #2 Full License #:

Payment Information

Amount*
$
Name on Card*
Card Number*
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