JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
May 2024 General Membership Meeting
“
The Ever Evolving Counseling Field
”
In Person ONLY!!!
Friday, May 17th, 2024
9:00am - 4:00pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Name of Your Organization
*
Your answer
Job Title
*
Your answer
Phone Number
*
Your answer
Are you an AVRASA member?
*
Yes
No
Required
This event will be held in person ONLY at Visiting Nurse Services. Please confirm that you understand there will be no virtual option for attendance and will attend in person.
Address:
220 East 42nd
Street
New York, NY 10017
*
I am aware that the meeting will ONLY be in person and I can attend
Required
Which Continuing Education credits will you need? ***Please note that if you are not a member or need LMHC Credits and did not pre-pay, there will be an extra charge.
*
CRC
CASAC
LMHC
No Credits Needed
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of AVRASA.
Report Abuse
Forms