South Carolina Society for Clinical Social Work | Annual Conference Registration Form

2010 Annual Conference Registration Form

Please fill in all applicable fields below.

OR... if you prefer, you may download the form, print it, and send a copy to Heather Stone along with a check made out to "SCSCSW".

Questions?
Contact Education Chair, Heather Stone
Email: heathernealstone@att.net
Phone: 864-517-4210

First Name:
Last Name:
Work Title/Position:
Organization:
Preferred Email:
Preferred Mailing Address:
City:
State:
Zip:
Phone:

Registration Options:

Friday, February 19, 2010
"Men in Therapy" Presented by Terry Real

6:30-7:30 pm Cocktail Buffet and Cash Bar
7:30-9:00 pm Presentation 1.5 CEU
Location: TBA

Early registration is suggested as the Salon is limited

I wish to attend this event
Cost: $15

Saturday, February 20 Conference
"Pursuers & Distancers In Relationships:
Treating Each and Their Unhappy Dance" (REAL-2009)
Presented by Terry Real, LICSW

9:00 am - 4:30 pm
6.5 CEU's
7.5 CEU's with lunch (see below)
Location: Doubletree Guest Suites

Conference Rates
Students: $125
SCSCSW Members: $175
Non-members: $195

Saturday, February 20 Lunch
Luncheon and Video (1 CEU)

12:15-1:15 pm

All entrées include fruit, dessert and beverage.

I wish to attend this luncheon
Cost: $15

Total Cost:

President:
Elizabeth Crosland, LISW-CP

Secretary:
Anna S. Rickell, LISW-CP

Treasurer:
Sonya O'Neal, LISW-CP

Membership Chair:
Leigh Bostic, LISW-CP

Government Affairs:
Ginger Culbertson, LISW-CP

Member at Large:
Manuel Torres, LISW-CP

Nominations Chair:
Jennifer Massey, LISW-CP

Ethics Chair:
Mary W. Underwood, LISW-CP

Past President / Website:
Emily Morgan McClain, LISW-CP

Education:
Study Groups:
Lynda Tate, LISW-CP

Annual Conference Event Planner/Intern:
Mary Susan Henderson, Furman University