AUCCCD 2002 Conference Registration Form
Reservation Deadline: October 15, 2002
Name: _________________________________________________________________________
Name to appear on badge: ___________________________________________________________
Mailing Address: __________________________________________________________________
University/College: ________________________________________________________________
Phone: _____________________________ Fax:________________________________
E-mail address: ___________________________________________________________
Is this your first AUCCCD conference? ___________Yes ___________No
Special Accommodations:
If you require special accommodations to fully participate in the conference, please describe the accommodations you will need.
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Please make check payable to: AUCCCD/Hawaii Conference
Mail completed form to:
Michi Fu, Ph.D.
c/o University of Hawaii at Manoa, CSDC
2600 Campus Rd., QLCSS 312
Honolulu, HI 9622
Preconference Workshops
| 9:00a.m.-4:00p.m. | Please note: This is an all-day workshop. | |
| Legal and Ethical Risks and Risk Management in
Professional Psychological Practice Eric Harris, APA |
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| 9:00a.m.-12:00p.m. | Please check no more than one | |
| Understanding the Impact of HIPPA & FERPA on Counseling
Center Administration and Functioning: an Elements of Excellence Program Robert A. Rando, Wright State JonathanC. Perry, Arkansas Jamie Davidson, Nevada --- Las Vegas Bob Aylmer, California State ---Fullerton |
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| Sankofa: Taking Counseling Centers from Traditional Services
to Multiculturalism to Social Justice. Why This is Essential for Out
Students.
Eldridge Greer, Colorado --- boulder |
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| Cybersex Addiction: A New Epidemic for Higher
Education Dan W. Socall, Northern Colorado |
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| Administrative Efficiencies Produced by Appointment and
Resource Scheduling Software Steven Petri, C.E.O Spectra Soft, Inc |
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| 1:00p.m.-4:00p.m. | Please check no more than one | |
| Becoming Advocates for Change: The Role of Counseling
Centers in Diversity Education Gary Petiprin, East Tennessee State Greg Eells, Southern Mississippi Barbara Beauchamp, East Tennessee State |
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| Psychological Debriefing on Campus: Delivery and Efficacy James Campbell, Rhode Island |
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| 1:00p.m.-5:00p.m | IACS Field Visitor Training and recognition (social from
4:00 to 5:00) Ed Hattauer, Northeastern Spencer Deakin, Frostburg State Penny Carry, Pittsburgh |
Total for preconference workshops ($20/half-day session, $35/full-day session)___________________________________________
Conference T-shirts - $10 (each) ----Please indicate quantity beside preferred size
Beefy T's
_____Large
____Extra Large
Ladies Scoop Necks
____Medium
____Large
____Extra Large
Total or conference T-shirts ($10/each)___________________
Special Luncheons
Please check if you prefer a vegetarian option.
Total for special luncheons ($25/each)____________________
Partner Meals
Total for partner meals ($35/each)_______________________
Conference Costs:
Registration fee ($265/person)
Conference T-shirt ($10/each)
Special Luncheons ($25/each)
Partner registration ($50/person)
Total
