THURSDAY, MARCH 29, 2012
9:00 a.m. to 4:15 p.m.
SYMPOSIUM LOCATION:

Dominican University's Priory Campus
7200 W. Division Street (corner of Harlem Avenue & Division Street)
River Forest, Illinois

REGISTRATION CLOSED.

Early Bird Registration Fee $35 before March 5, 2012 (Extended Early Bird Deadline!!)
Regular Registration Fee $40 after March 5, 2012

CEU Fee $30 (must hold the following licensing to earn CEU's: LSW, LCSW or LCPC)

Early Bird Student Registration Fee $10 before March 5, 2012 (Extended Early Bird Deadline!!)
Student Registration Fee $15 after March 5, 2012

Full Symposium 9 a.m. - 4:15 p.m.
Morning Session 9 a.m. - 11:45 a.m.
Afternoon Session 1 p.m. - 4:15 p.m.

For more information, please contact Felicia L. Townsend at
(708) 771-5298 or ftownsend@dom.edu

Register today by filling in the information below.

Title:
First Name:*
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Session Attending: Please Note - Continuing Education Units (CEUs) (In addition to paying the registration fee, attendees who hold the following licensing can earn CEUs: LSW, LCSW, LCPC)	Full Symposium If applicable attendees can earn 5 CEU’s for addt’l fee. Includes continental breakfast and lunch. Morning session If applicable attendees can earn 2 CEU's for addt’l fee. Continental breakfast is included. Afternoon session If applicable attendees can earn 3 CEU's for addt’l fee.
Afternoon Breakout Sessions: Attn: Full Symposium and Afternoon only attendees Please check one breakout session that you will attend. All afternoon breakout sessions will run at the same time from 1:00pm-3:00pm.	Session 1 The role of political advocacy as a community change agent Session 2 The linkage between education and obtaining employment Session 3 The role of spirituality as a sustaining force in the community Session 4 Economic and social development as a catalyst for business and job creation
Dietary Restrictions (if applicable)
If you are registering as a student please select what kind:	Undergraduate - Freshman Undergraduate - Sophomore Undergraduate - Junior Undergraduate - Senior Graduate - Social Work/Sociology Graduate - Psychology Graduate - Counseling Graduate - Education Graduate - Other
Undergraduate students, please tell us your major:
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