16th Annual
Stand Up For A Brighter Tomorrow
Conference Registration Form

Please complete the registration form below. Be sure to click "Submit" to send your application.
All BOLD fields are required to submit your registration.

Name:
Phone:
 Example: 606-555-1234
Address:
Email:
Applying for CEU Types:
State:
Zip:
Mobility Needs:
Other Needs:
         

Session 1 (A,B, or C):
9:00am - 10:30am
Please select a workshop 

 

(Place your mouse over each session title for a detailed description)

A - Adolescent Substance Abuse: Best Practices for Better Outcomes (NAADAC Approved)
B - QPR-For Suicide Prevention (NAADAC Approved)
C - Enhancing Social and Emotional Development in Young Children

 

Session 2 (A,B, or C):
10:45am - 12:15pm
Please select a workshop

 

(Place your mouse over each session title for a detailed description)

A - SBIRT (NAADAC Approved)
B - Child-Directed Interaction (CDI): An Introduction to Phase 1 of Parent-Child Interaction Therapy (PCIT)
C - No Gays Allowed: Examining Bias in Response to Clients Who Are LGBTQI

 

Session 3 (A,B, or C):
1:45pm - 3:15pm
Please select a workshop 

          

(Place your mouse over each session title for a detailed description)

A - What Is Prevention? Why Is It Important? (NAADAC Approved)
B - Parent-Directed Interaction (PDI): An Introduction to Phase 2 of Parent-Child Interaction Therapy (PCIT)
C - The Blurred Lines of Pop Culture