2015 APPCNC Annual Conference
Transcription
2015 APPCNC Annual Conference
2015 APPCNC Annual Conference Presented by the Adolescent Pregnancy Prevention Campaign of North Carolina Learn more & register at www.appcnc.org Introduction Agenda Wednesday, May 20 In 1985, America was introduced to a little movie called Back to the Future and North Carolina was introduced to a new organization — what’s now called the Adolescent Pregnancy Prevention Campaign of North Carolina. This year’s conference is a celebration of where we’ve been and where we’re going — with a few surprises thrown in. So hop inside our data Delorean and get ready for a journey through 30 years of our work together and a peek into the future. We look forward to seeing you as we take a ride through our shared past, present, and future. 10:00 AM – 3:00 PM Pre-conference training (Light breakfast and lunch included) Thursday, May 21 8:30 AM – 9:45 AM Check-in and breakfast 9:45 AM – 10:45 AM KEYNOTE Al Vernacchio: Pizza is the Key to Healthy Sexuality 11:00 AM – 12:15 PM Concurrent workshops 12:30 PM – 1:00 PM Lunch 1:00 PM – 1:45 PM plenary panel Adolescent Pregnancy Prevention: Past, Present & Future 2:00 PM – 3:15 PM Concurrent workshops 3:30 PM – 4:45 PM Concurrent workshops Dinner on your own 8:30 PM – 10:30 PM 30TH BIRTHDAY CELEBRATION Enchantment Under the Sea Friday, May 22 8:00 AM – 8:45 AM Check-in and breakfast 8:45 AM – 9:45 AM KEYNOTE Trena Saunders: Thinking Outside the Box: LGBTQ-Inclusive Pregnancy Prevention 10:00 AM – 11:15 AM Concurrent workshops 11:30 AM – 12:45 PM Concurrent workshops Educational portions of this conference have been awarded contact hour from Northwest Area Health Education Center (NWAHEC), a program of Wake Forest School of Medicine and a part of the NC AHEC System: • • • People Power: A Workshop on Community Mobilization has been awarded 4.0 contact hours (0.4 CEUs). Day 1 (May 21, 2015) of the 2015 APPCNC Annual Conference: 30 Years and Beyond: Back to the Future has been awarded 5.5 contact hours (0.55 CEUs) . Day 2 (May 22, 2015) of the 2015 APPCNC Annual Conference: 30 Years and Beyond: Back to the Future has been awarded 3.5 contact hours (0.35 CEUs). 12:45 PM – 2:00 PM Lunch, Awards Ceremony, and Raffle 2:00 PM Adjourn Pre-Conference and Conference Location Joseph S. Koury Convention Center/Sheraton Greensboro 3121 High Point Rd., Greensboro, NC 27407 www.sheratongreensboro.com Conference Room Rate: $135 per night Room Registration Deadline: April 21, 2015 Reservations: 336-292-9161 or 1-800-242-6556 Ask for the Adolescent Pregnancy Prevention Campaign of NC 2015 room block. Wednesday, May 20 10:00am—3:00pm Pre-conference Session People Power: A Workshop on Community Mobilization Mobilizing community members and organizations is an important part of a successful community initiative. The goal of this workshop is to deconstruct principles of community mobilization and explore how to incorporate these principles into existing community efforts. This session will present research based-characteristics of community mobilization efforts and strategies for applying these principles to adolescent pregnancy prevention. Participants in this session will identify non-traditional partners within their communities and practice messaging and engaging them for specific purposes. Participants will also build skills in linking pregnancy prevention to broader community health issues to increase program sustainability. We will workshop barriers and share strategies. Trainers: Sally Swanson, MSW, MSPH, Director of Prevention Programs; Sarah Davis, MPH, Public Health Specialist, Adolescent Pregnancy Prevention Campaign of North Carolina Celebrate with us! ENCHANTMENT UNDER THE SEA 30th birthday party Thursday, May 21 8:00pm—10:30pm Attire: Vintage Prom Optional* sign up when you register or separately at www.appcnc.org. Join us for a totally awesome birthday bash to celebrate 30 years of teen pregnancy prevention work. We’re taking some cues from yesteryear — ‘80s music, big hair, and a prom theme that goes back to the future. Come network with your peers from across North Carolina, dance the night away, and have a blast! *What is “vintage prom optional”? Anything goes! Get all decked out in prom attire from any era. Come as you are, if dressing up isn’t your style. conference Speakers May 21 Keynote Pizza is the Key to Healthy Sexuality Al Vernacchio, MSEd May 21 Lunch Plenary Panel: Adolescent Pregnancy Prevention: Past, Present & Future Al Vernacchio is a high Featuring: school sexuality educator and English teacher at Friends’ Central School in Wynnewood, Pennsylvania. A human sexuality educator for more than 20 years, Al lectures and offers workshops throughout the country. His work was the feature of a 2011 New York Times Magazine cover story, and his TED Talk, Sex Needs A New Metaphor, Pat Paluzzi, DrPH, CNM Monica Rodriquez, M.S. President & CEO Healthy Teen Network President and CEO SIECUS Karen Schlanger, PhD, MPH Bill Albert has been viewed more than 1 million times. In 2014 he published For Goodness Sex: Changing the Way We Talk to Teens About Sexuality, Values, and Health, which refutes the “disaster prevention” mode of sexuality education in favor of a more positive approach towards healthy sexuality, values, and body image in young people. Al lives in Philadelphia, Pennsylvania. Cicatelli Associates Inc. Chief Program Officer and Campaign Spokesman, National Campaign to Prevent Teen and Unplanned Pregnancy May 22 Keynote Thinking Outside the Box: LGBTQ-Inclusive Pregnancy Prevention Trena Saunders Trena P. Saunders is a professional trainer with extensive experience in developing and facilitating sexuality training for youth and adults. In 1998, Ms. Saunders joined the staff of the Hetrick-Martin Institute, the nation’s largest LGBTQ youth organization, as a Sexuality Educator and Trainer. Since then, she has worked as the Sexuality Educator/Trainer and School Initiatives Coordinator for Planned Parenthood of NYC, and the founder of Saunders Consulting Services, which meets the complex training needs of the private and public sector. Ms. Saunders is currently the Health Educator for Lutheran Medical Centers’ School-Based Health Center at Boys and Girls High School in Brooklyn, NY. She is a graduate of the State University of New York at New Paltz, with a degree in Black Studies and a minor in Social Work. Workshop Levels Workshop Tracks Accessing Clinical Care Adolescent Pregnancy/Parenting Boys/Young Men Capacity Building Collaborations Contraception Cultural Competence Gender/Sexuality Healthy Development thursday, May 21 Hispanic/Latino/a Outreach HIV/STIs Public Policy/Advocacy Relationships School-Based Sex Ed Skills-Building Social Marketing The following designations describe the experience level of the intended audience for each breakout session: Beginner (new to the topic) Intermediate (moderately familiar with the topic) Advanced (well-versed in the topic) You may sign up for any workshop that interests you! Content Levels are guidelines on what to expect from each session. Breakout Session A 11:00am—12:15pm Choose One (Note: Workshops A1 – A4 are ONLY offered during this session.) A1. What are they REALLY asking? Adolescents’ questions submitted to the BrdsNBz Text Message Warm Line Text messaging is an important communication tool. In fact, over 75% percent of young people ages 12-19 use text messaging as their primary means of communication – with some averaging more than 450 text messages each week. Join this session as we present comparative information about texts submitted by 13-19-year-olds to BrdsNBz North Carolina. We’ll also discuss trends in text messaging and research behind current text messaging initiatives, as well as how to evaluate text messaging data. Presenter: Kennon Jackson, Jr., MA, Director – BrdsNBz National, Adolescent Pregnancy Prevention Campaign of North Carolina Workshop Categories: Capacity-Building; Collaborations; Social Marketing Format: Lecture/Discussion Content Level: Beginner A2. Meeting the Needs of LGBTQ Youth Creating a safe and respectful environment for LGBTQ youth is an issue across the country and the state. The Centers for Disease Control’s Division of Adolescent and School Health is taking a lead by assisting State Education Agencies in educating teachers, staff, administrators, and students about LGBTQ equality. This session will provide a national perspective and the latest research and best practices for appropriately addressing the needs of these students. In particular, we will provide guidance to health professionals who work with youth on issues such as appropriate use of pronouns, safe restroom and locker room environments, and legal implications regarding transgender youth. This interactive, thought-provoking session will provide examples of model policy used by other states. Presenters: Sally Goss, MS, CHES, Health Education Specialist: Promoting Adolescent Health through School Based HIV/STD Prevention, Centers for Disease Control and Prevention/Division of Adolescent and School Health; Sherry Lehman, MEd, LPC, HIV Policies & Programs Consultant, NC Department of Public Instruction Workshop Categories: Cultural Competence; Gender/Sexuality; HIV/ STIs Format: Lecture/Discussion Content Level: Beginner; Intermediate A3. Providing Sexual and Reproductive Health Services to Adolescent Males: Lessons Learned from the Engaging Young Men’s Initiative in Gastonia, NC This session will describe common barriers adolescent males face in accessing sexual and reproductive health care, national recommendations and best practices for providing them with SRH services, and key resources health centers can use to improve their ability to address their SRH needs. The session will also include a presentation of key steps and lessons learned from a pilot project with two health centers in Gaston County, NC that seeks to improve the quality of and access to sexual and reproductive health care for adolescent males as a strategy to improve health outcomes, including reducing teen pregnancy. Presenters: Karen Schlanger, PhD, MPH, Senior Technical Advisor for Quality Improvement and Performance Management, CAI; Velma Taormina, MD, FACOG, Medical Director, Gaston County Department of Health and Human Services Workshop Categories: Accessing Clinical Care; Boys/Young Men Format: Lecture/Discussion Content Level: Beginner; Intermediate A4. Keeping the Faith Sex Positive This workshop will explore a few aspects of the Christian faith that for many youth and program staff provides nurturing, guidance, optimism, and comfort that may actually be viewed as sex negative for others. The workshop will seek to provide examples of positive sex messages and reframing that may be a place of neutrality for some youth educators, counselors, and program staff. The aim of the session is to discover strategies and messages that are both faith and sex positive. Presenter: Tanya Bass, MS, CHES, Training Consultant Workshop Categories: Collaborations; Healthy Development; SkillsBuilding Format: Lecture/Discussion Content Level: Intermediate Thursday, May 21 Breakout Session B 2:00pm—3:15pm Choose One (Note: Workshops B1 – B4 are ONLY offered during this session.) B1. What’s media got to do with it? Addressing sexual health misinformation with media literacy education for adolescents Studies have shown that media may have an effect on adolescent sexual behavior. Exposure to degrading music and sexually explicit television has been linked to subsequent sexual activity and pregnancy in young adults. Media literacy education (MLE) represents an innovative and accessible way to teach comprehensive sexual education. This presentation will discuss the development and evaluation of Media Aware - Sexual Health, a comprehensive MLE program for influencing adolescents’ sexual health and media literacy outcomes. Attendees will participate in lively interactive discussions of media examples and experience MLE activities that are used in the classroom to promote adolescent sexual health. Presenter: Tracy Scull, PhD, Research Scientist,; Christina Malik, PhD, Research Scientist; and Kimberly Vuong, MPH, CHES, innovation Research & Training Workshop Categories: Adolescent Pregnancy/Parenting; Contraception; Gender/Sexuality; HIV/STIs; Relationships; School-Based Sex Ed; SkillsBuilding Format: Discussion Content Level: Beginner; Intermediate; Advanced B2. Project NO REST The purpose of this presentation is to increase awareness regarding human trafficking and how it affects children and youth involved in the child welfare system in North Carolina. The presentation will address some of the work being done to increase prevention and to provide services to child welfare and youth who are identified as victims of trafficking. Presenters: Kiricka Yarbough Smith, BSW, Human Trafficking Consultant, Project NO REST Workshop Categories: Collaborations Format: Lecture/Discussion Content Level: Intermediate It was fun to meet others who do the same job or something similar to what I do. It was good to exchange our thoughts, ideas, and opinions. — Conference participant B3. Five Years and 40% Fewer Pregnancies: Culminating Lessons Learned from Gaston Community Leaders Now in the final year of a five-year community-wide teen pregnancy prevention initiative, a panel of project stakeholders will share highlights of lessons learned. Panelists will include an OB/ GYN, public school assistant superintendent, a United Way leader, and APPCNC staff. In addition to sharing pivotal lessons learned, they will discuss tactics that can be replicated with few or limited resources. This interactive, discussion-based session provides an opportunity to learn how to effectively engage schools, health care providers, and funders in teen pregnancy prevention. Panelists: Velma Taormina, M.D., FACOG, Medical Director, Gaston County Department of Health and Human Services; Melissa Wilson Balknight, EdD, Assistant Superintendent of Student Support Services, Gaston County Schools; Sally Swanson, MSW, MSPH, Director of Prevention Programs, APPCNC; Kayla Bryant, MSW Intern, APPCNC Moderator: Joy Sotolongo, MS, Evaluation Specialist, APPCNC Workshop Categories: Adolescent Pregnancy/Parenting; Collaborations Format: Panel/Discussion Content Level: Beginner; Intermediate B4. Great Sexpectations! Creating a “Yes Means Yes” Culture of Consent In 1985, a teen girl in North Carolina was 3x as likely to get pregnant as she is today. #progress 3x This session will model a safe group setting environment for discussing the topic of clear, confident consent with adolescents. This workshop will uncover shaming messages and focus on a positive approach to language used in creating classroom structure and culture, program development, and community-wide messaging. Through engaging activities facilitators will normalize the natural, healthy feelings of adolescent sexual desire and address communication skills specific to building a culture of clear, confident consent in the context of responsible sexual decision-making. Participants will feel inspired to create a learning environment where young people believe their bodies are extraordinary, powerful and worth protecting. Presenter: Jean Workman, MA, Director of Development, APPCNC Workshop Categories: Boys/Young Men; Gender/Sexuality; Healthy Development; School-Based Sex Ed; Skills-Building Format: Lecture/Discussion Content Level: Beginner; Intermediate; Advanced thursday, May 21 Breakout Session C 3:30pm—4:45pm Choose One (Note: Workshops C1 – C4 are ONLY offered during this session.) C1. Sustaining Prevention Programming in Cabarrus County #sustainability4schools The Cabarrus Health Alliance (CHA) is the Public Health Authority of Cabarrus County and serves as the local Health Department. Through several Teen Pregnancy Prevention Initiatives, CHA works specifically with middle school youth to educate them about sexual and reproductive health. “Smart Girls Know” is an afterschool program in seven middle schools in Cabarrus County. The “TRAIL Arts Initiative” is an afterschool arts program unique to one school site. Both work to educate and empower youth by establishing meaningful relationships through mentorship and providing a safe space to share talents. Session participants will learn how to establish a framework for sustaining prevention efforts unique to your community, and identify strategies to maintain a healthy relationship with a school system or other partners. Presenter: Brittany Schwartz, BSPH, Smart Girls Know Program Coordinator, Cabarrus Health Alliance; Jordan Melton, BS, BA, Teen Pregnancy Prevention Initiative Program Coordinator, Cabarrus Health Alliance Workshop Categories: Adolescent Pregnancy/Parenting; Collaborations; Relationships; School-Based Sex Ed Format: Lecture/Discussion Content Level: Intermediate C2. Leveraging Technology for 21st Century Adolescent Parenting Education This session showcases critical elements in the development of quality parenting programs for young families. Discussions will center on the concepts of relationship education, life skills development, and educational attainment as well as technology-based approaches that enhance learning environments for young parents. We’ll give special emphasis to technology and social media use to reinforce educational concepts and build community. Presenters: Christina Jolly, MEd,4-H VIP Program Coordinator, NC State University; Autumn Guin, MS, Extension Associate – Program Development & Evaluation, NC State University; Jenna Barnes, MEd, VIP Program Coordinator, NC State University Workshop Categories: Adolescent Pregnancy/Parenting; Relationships; Skills-Building; Social Marketing Format: Lecture Content Level: Beginner; Intermediate C3. The MyHealthEd Pilot Study: Lessons Learned on Feasibility and Usability of an Online Sex Education Intervention Among 9th Grade Students in Rural North Carolina Former teachers Liz Chen and Vichi Jagannathan have set out to deliver high-quality online sexual health education to students in low-resourced, rural high schools in North Carolina. After pilot testing their adapted version of Reducing the Risk, they have assessed the feasibility, usability, and basic effectiveness of this online classroom program. Come hear about the major lessons learned, and discuss how these lessons can apply to your own research and practice. In addition, check out MyHealthEd’s unique online features, including a real-time chat simulator and interactive role-play activities. We continue to seek your input as we improve! Presenters: Liz Chen, MPH, Co-Founder and Principal Investigator of the MyHealthEd Project, Department of Health Behavior, UNC Gillings School of Global Public Health; Vichi Jagannathan, Co-Founder of MyHealthEd and West Coast Regional Manager, TEALS (Technology Education and Literacy in Schools) Workshop Categories: HIV/STIs; School-Based Sex Ed; Skills-Building Format: Lecture/Panel/Discussion Content Level: Beginner; Intermediate C4. Talk to the Rotary Club – Why it Matters and What to Say Have you ever presented to community groups on teen pregnancy and wondered if it’s worth the effort? Or wondered if anything changed as a result of the presentation? We will present findings from interviews with Gaston County community members who attended presentations at a Rotary Club, city council, or other stakeholder group meeting. Learn what types of messages they found to be effective – and how they experienced changes in knowledge, attitudes, and behaviors. Presenter: Joy Sotolongo, MS, Evaluation Specialist, APPCNC; Elyse Keefe, MSW, MPH, Research Specialist, innovation Research and Training Workshop Categories: Adolescent Pregnancy/Parenting; Collaborations; Contraception; Public Policy/Advocacy; School-Based Sex Ed Format: Lecture/Discussion Content Level: Beginner; Intermediate Aqua-network: (verb) Making new connections with totally rad sexual health professionals while you party all night long at our awesomely 80s Enchantment Under the Sea 30th birthday celebration! Don’t forget to join us for this fun special event on Thursday night! friday, May 22 Breakout Session d 10:00Am—11:15Am Choose One (Note: Workshops D1 – D4 are ONLY offered during this session.) D1. Talking to the Good Guys: Enlisting Males in the Fight Against Rape “I’m not a rapist. Why should I have to listen to this?” Boys and men commonly feel accused and blamed during anti-rape education. This session will discuss ways educators can break through defensiveness and approach males as potential helpers rather than potential rapists. Educators will learn how to enlist males in resisting rape culture; condemning coercive behaviors; and normalizing healthy, consensual relationships. After this session, you will be able to create programming that increases empathy for survivors and aversion to rape; encourages active, affirmative consent; and challenges males to step up and do their part to end rape. Presenter: Carter Shotwell, MSW, Wise Guys Educator, Children’s Home Society of North Carolina Workshop Categories: Boys/Young Men; Gender/Sexuality; Relationships; School-Based Sex Ed; Skills-Building Format: Lecture/Discussion Content Level: Beginner D2. A New Way of Thinking About Grant Writing Hate writing grants? Tired of working hard on your proposal and then getting turned down by the funder? Always wanted to learn, but scared to try? Maybe you’re thinking about it all wrong. This workshop will teach you a new way of thinking about grant writing that will increase your chances of getting funded. Whether you’re a complete novice or an experienced grant writer, the workshop will provide you with specific tips and techniques that can transform the way you write proposals. Come learn how the presenter secured over $75 million dollars in funded proposals using this unique approach. Presenters: Dr. Paul N. McKenzie, Director, Southeast Center for Strategic Community Development Workshop Categories: Capacity-Building; Collaborations Format: Lecture/Discussion Content Level: Beginner; Intermediate; Advanced D3. Creating Opportunities: Person-Centered Planning with Young Families. A shift in how we approach goalplanning with teen and young parents. Young parents need to feel in control of their lives and have the confidence and tools to succeed. The Rockingham County Partnership for Children has incorporated the Person-Centered Planning model into our work with young parents and discovered that it enables parents to be active, invested participants in creating strength-based life goal plans and the development of support circles. This workshop will provide you with more information on the PCP model as it applies to young parents and how PCP fits into the case management and service delivery process. Presenters: Dawn Charaba, MBA, Young Parenting Program Coordinator; and Daphne Alsiyao, MSW, Connect Case Manager, Rockingham County Partnership for Children Workshop Categories: Adolescent Pregnancy/Parenting; Collaborations; Skills-Building Format: Lecture Content Level: Beginner; Intermediate D4. A Model for Preparing and Supporting Program Staff to Successfully Implement a School-Based EvidenceBased Intervention A model of staff training and support as part of a federal Tier I Teen Outreach Program implementation has provided an opportunity for facilitators across a diverse region to have a wide range of learning experiences that help them feel prepared to meet the unique challenges in their communities. Implementation staff had to have skills to navigate school relationships, support a rigorous evaluation, recruit program participants, and deliver a high quality program. At the same time, these facilitators embraced standardized practices and adhered to curriculum fidelity. Learn some of the strategies that resulted in program staff feeling supported, engaged, and successful! Presenter: Carole Miller, MEd, Chief Learning Officer, Planned Parenthood of the Great Northwest Workshop Categories: Adolescent Pregnancy/Parenting; Capacity- Building; Collaborations; Cultural Competence; School-Based Sex Ed; SkillsBuilding Format: Lecture/Discussion Content Level: Intermediate Sponsporship Opportunities Promote your organization by becoming a sponsor of the 2015 conference! Opportunities range from table sponsorships to full event sponsorships. Contact Jean Workman at [email protected] or (919) 226-1880 ext. 115 for more info. friday, May 22 Breakout Session e 11:30Am—12:45Pm Choose One (Note: Workshops E1 – E4 are ONLY offered during this session.) E1. Sustainability: Promises, Pitfalls, and Progress In this session, the Iredell-Statesville Proud And Responsible Communities (PARC) staff will discuss the initial grant proposal and sustainability plan for their federally-funded project. The session will include an in-depth discussion of what a sustainability plan really is and how to put that plan into action. PARC will also share lessons learned during their sustainability phase. You will leave this session with a better understanding of how to write grant proposals and sustainability plans and work with your local Board of Education, County Commissioners, and Board of Health. Presenter: Linda Rogers, MS, Project Director; and Amanda Peters, MEd, Program Specialist, PARC Program, Iredell-Statesville Schools Workshop Categories: Capacity-Building; Collaborations; School-Based Sex Ed Format: Lecture/Discussion Content Level: Intermediate E4. Healthy Before Pregnancy – A Preconception Health Curriculum for High School Students in NC Learn about how the March of Dimes’ preconception health curriculum for high school students was developed and how it is being utilized across North Carolina to teach teen girls and boys about the importance of reproductive life planning, taking folic acid to prevent birth defects, and how their choices and health behaviors now can impact their birth outcomes in the future. Participants will also walk through a mock lesson plan. Presenter: Brenda Stubbs, BS, Regional Program Coordinator, March of Dimes, Triad Division Workshop Categories: Adolescent Pregnancy/Parenting; School-Based Sex Ed Format: Lecture/Discussion Content Level: Beginner/Intermediate E2. North Carolina’s Teen Pregnancy Rates: A Closer Look Good news: North Carolina’s teen pregnancy rates continued to decline in 2013! Not-so-good news: there remain pockets of high rates, even in counties with some of the lowest rates. Join us for a closer look at rates among youth of color, older youth, rural youth, etc., and participate in discussions about how the data might be used to address these disparities. Presenters: Joy Sotolongo, MS, Evaluation Specialist, APPCNC Workshop Categories: Adolescent Pregnancy/Parenting Format: Lecture/Discussion Content Level: Beginner; Intermediate E3. A Replication of Draw the Line/Respect the Line in Rural California: A Case Study Mixed Methods Design This session will discuss a study of Latino adolescents, grades 6-8, participating in a Draw the Line/Respect the Line implementation in a high-poverty rural community in California. The research findings were consistent with the conclusion that Draw the Line curricula are effective in providing rural Latino adolescents the tools needed to resist peer pressure and sexual risks behaviors. We will identify ways in which health care providers, school staff, and policy makers can encourage and support Latino adolescents residing in rural communities to make informed decisions about their sexual and reproductive health as they transition from childhood to adolescence. Presenters: Brittany D. Chambers, MPH, Doctoral Student, University of North Carolina, Greensboro Workshop Categories: Cultural Competence; Hispanic/Latino/a Outreach; HIV/STIs; School-Based Sex Ed; Skills-Building Format: Lecture/ Discussion Content Level: Beginner Basic Information Confirmations Confirmation of your registration will be sent by e-mail. If you have not received confirmation of your registration by May 7, 2015, please contact Melinda DeJongh at 919-226-1880 x108, as you may not be registered. Refunds and Cancellations Refunds, less a $50.00 processing fee, will be given only if APPCNC receives cancellations in writing by May 8, 2015. After May 8, 2015, there will be no refunds for cancellations or no-shows. Substitutions are welcome, and can be made without penalty. Contact Melinda DeJongh at 919-226-1880 x108 with questions about refunds, cancellations, and substitutions. Continuing Education Units and Fees We will be providing Northwest AHEC Contact Hours. Many licensure boards accept contact hours, including social work, nursing, counseling, psychology, and marriage and family therapy. Contact your licensing board for specific questions regarding acceptance of contact hours. If you would like to receive CEU credits, you must pay the $20 fee, either at the time of registration or during the conference. Participants are responsible for signing daily rosters at the registration desk, and completing and turning in the attendance forms in their packets. Communications Technology: Audio and/or video taping of plenary sessions and workshops is prohibited. Please turn the sound off on devices during sessions & presentations. Photo Permission: We will be taking photos at this event. By attending, you give permission to use images taken at the conference, as well as any written comments on our evaluation forms, in the educational, professional, or fundraising activities of APPCNC. Room Temperatures: Conference centers can be cold! Bring a sweater or jacket with you if you tend to get chilly. registration form 2015 conference May 20-22,2015 Registration Deadline: Wednesday, May 6, 2015. Registrations are first-come, first-serve; space is limited. Only one person per form. Photocopy as needed. No telephone or day-of registrations accepted. Pre-registration is required. Register online: Register by mail: www.appcnc.org Send form & check payable to APPCNC to APPCNC, 3708 Mayfair Street, Suite 310, Durham, NC 27707 NAME: Last Four digits of ssN*: title: degree(s): organization/affiliation: mailing address: city: state: email: zip: Phone: ( ) *The last four digits of your Social Security Number are required for Continuing Education credit. They will not be used for any other purpose. Do you have any serious dietary needs/allergies we need to accommodate? registration fees Please calculate your total: $ Pre-conference: $100 Full two-day conference: $275 Make checks payable to appcnc NO check enclosed W FR Enchantment under the sea birthday celebration: $30EE pay by credit card May 21 Only: $175 (circle) visa May 22nd Only: $125 card #: full two-day conference for full-time students: $95 exp date: one-day of conference for full-time students: $50 name on card: continuing education credit fee (optional): $20 signature: st mc amex discover / if receipt must be sent to an address other than the registrant, please include Info here: Workshop selections Workshops may fill up. Please select your first and second choice for each session on the day(s) you’ll be attending. Remember to include both the session letter and the workshop number! thursday, May 21first choice second choice First session (a1-a4) second session (b1-b4) third session (c1-c4) First session (d1-d4) First session (e1-e4) friday, may 22 questions? Check event details at www.appcnc.org or contact Melinda DeJongh at [email protected] (919) 226-1880