REGISTRATION FORM
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REGISTRATION FEE
Yeshiva University Faculty and Students Free
Ferkauf Graduate School Alumni $50
Community-at-Large $85
   

SPECIAL NEEDS

If you require special assistance, please call Shara Sand two weeks prior to the symposium at (718) 430-3966 to receive service.

Please make check payable to: Ferkauf Graduate School of Psychology.

Mail this form with your payment to:
Yvonne Roman
Ferkauf Graduate School of Psychology
1300 Morris Park Avenue
Bronx, New York 10461
 

PLEASE SELECT ONE
Workshop I Steven Reisner, PhD
Workshop II Leanh Nguyen, PhD
Workshop III Adeyinka M. Akinsulure-Smith, PhD
Workshop IV Edward J. Tejirian, PhD
Workshop V Carl Auerbach, PhD and Shoshana Mirvis, PsyD
Workshop VI Michael Welner, MD
  Participants will be treated to kosher continental breakfast.