Please confirm your Email (We need to confirm its correct because this is how you'll get the link to the event.) *
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Last Name *
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First Name *
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Phone Number *
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What is your primary professional discipline? *
Credentials (all that apply) *
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What is your work setting? *
Employer
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Please check the event(s) you plan to attend. NOTE: You must check the box to receive a link to each event. *
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Are you interested in CEU's? 3 Social Worker CEU's are available for $15. You will only receive CEU's if you pay in advance AND complete the evaluation that is sent out via email with the link to each event. 1 CEU per event. No refunds will be available if you are unable to attend an event. Go to https://gatewayeol.com/2020-summer-speaker-conference/ to pay. *
A copy of your responses will be emailed to the address you provided.