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

2012 Annual Conference Registration Form

Please fill in all applicable fields below.

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

Cancellations: The registration fee, less a $25 administration fee, will be refunded when notification of cancellation occurs two weeks prior, March 30, 2012, to the workshop date. No refunds will be issued when notification of cancellation occurs after the two-week deadline; however, a substitute may be sent.

Not a member? Join SCSCSW today to get the member rate! Click here for a member application.

Questions?
Contact Conference Planner, Mary Susan Henderson
Email: marysusan.henderson@gmail.com
Phone: 864-871-0816

First Name:
Last Name:
Preferred Name:
Work Title/Position:
Employer:
Preferred Email:
Preferred Mailing Address:
City:
State:
Zip:
Phone:
Name and Title to appear on CEU:

Registration Options:

Friday, April 13, 2012
"The Wisdom of Empathy in an Era of Narcissism"
Presented by Wendy T. Behary, LCSW

6:30pm - 7:30pm Heavy Hors d'oeurves & Cash Bar
7:30pm - 9:00pm Presentation 1.5 CEU's
Location: Larkin's on the River, Cabaret Room
318 South Main St, Greenville, SC, 29601

Early registration is suggested as the Salon is limited

I wish to attend this event
Cost: $25

Saturday, April 14, 2012
"Disarming the Narcissist"
Schema Therapy and the Art of Empathic Confrontation
Presented by Wendy T. Behary, LCSW

8am - 9am Breakfast & Registration, included
9am - 5:30pm Workshop with a 2 hour lunch break
6.5 CEU's
Location: Larkin's on the River, Cabaret Room
318 South Main St, Greenville, SC, 29601

Early Bird Conference Rates
(Postmarked 3/13 or earlier)
Non-members: $200
SCSCSW Members: $175
Students (ID req.): $125

Regular Conference Rates
Non-members: $220
SCSCSW Members: $200
Students (ID req.): $150

*To Receive the Student Rate, a copy of a current student ID must be sent to Mary Susan Henderson at marysusan.henderson@gmail.com
Or mail to: SCSCSW, PO Box 8523, Greenville SC 29604.

Total Cost:

Please enter the words you see below, before submitting the form:

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