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Into The Light

2012 Into The Light Registration

  Contact Information


  • First Name*:
  • Last Name*:
  • Job Title:

  • Employer or Educational Institution*:
  • Address*:
  • Address 2:
  • City*:
  • Country*:
  • State:
  • ZIP/Postal Code*:
  • E-mail*:



Do you need special accommodations?


No

Yes


If yes, please explain.



Do you have special dietary needs?


No

Yes


If yes, please explain.




Sign up for one breakout session during each time period:


10:30 a.m. -11:30 a.m.


Dating Violence

Serving the Unique Needs of Abusers and Victims of Abuse

Working with the Changing Nature of the Population

Domestic Violence in the Senior Citizen Community

Career Options within Social Agencies Addressing Domestic Violence

11:30 a.m. -12:30 p.m.


Serving the Unique Needs of Abusers and Victims of Abuse

Domestic Violence in the Military

Domestic Violence in the Senior Citizen Community

Career Options within Social Agencies Addressing Domestic Violence


Please check the box if you would like to register for 6.5 general CEUs. ($15)


Total