Instructions:
NASW New York City Chapter
50 Broadway, 10th Fl.
New York, NY 10004
I Wish to Register for the Following Workshops
_____Clinical Work With Lesbian, Bisexual, Gay, and Transgendered Persons:
         A framework for Family and Individual Interventions		6 HOURS
_____The Essential Tool Kit for Cognitive-Behavioral Social Work Practice6 HOURS
_____Exploring Multiple Approaches To Theory And Practice In Family Treatment3 HOURS
_____Managing Your Career: Managing Your Job Search6 HOURS
_____From Practice to Print: Writing for Social Work Journals and Other Publications3 HOURS
_____The Key Steps to Building a Successful and Effective Private Practice6 HOURS
_____Working With What Cannot Be Spoken3 HOURS
_____Into the Third Decade of HIV/AIDS: Mental Health And Combination Therapy3 HOURS
_____Meeting Professional Standards for Culturally Competent Practice3 HOURS
_____Telling Our Story: Empowering our Professional Selves3 HOURS
_____Couples In Connection6 HOURS
_____Reclaiming Our Roots And Striving Toward Wholeness:
         Spirituality And Social Work Practice		6 HOURS
_____Social Work With Individuals Deemed High-Risk for Violence:
         Bio-Social Context And Dialectical Dilemmas		6 HOURS
_____Preparing For The CSW Exam3 HOURS
_____The Police-Social Work Connection: Teamwork in Crisis, Critical Incidents, and Disasters6 HOURS
_____Everything Private Practitioners Need to Know about Negligence and Malpractice .....
         But Were Afraid to Ask!		6 HOURS
_____Surviving Adolescence: A Framework for Successful Family Intervention3 HOURS
_____Managing Countertransference: A Self Psychology Perspective for Working
         With Depressed, Self-Abusive Female Clients		6 HOURS
_____Diagnosing And Treating Trauma Disorders: The Importance
         Of Systematic Assessment And Phase Oriented Treatment Approaches		3 HOURS
_____The Dramatic, The Eccentric And The Fearful: Personality Disorders Revisited3 HOURS
_____Meeting the Needs of Elders: A Family Focused Framework6 HOURS
NASW membership Information
Member I.D. number ____________________

___ I am a reduced income member

Name _________________________ (as it appears on your Credit Card)
Address ______________________________
City ______________________________ State __ Zip __________
Work Phone ________________
Home Phone ________________
Organization ______________________________
Title ______________________________

Payment Information

1. Member of NASW
___ $75    6-hour session   Number of 6-hour Workshops ___
___ $45    3-hour session   Number of 3-hour Workshops ___

2. Non member
___ $150    6-hour session   Number of 6-hour Workshops ___
___ $90      3-hour session   Number of 3-hour Workshops ___

3. Reduced income members of NASW (Students, retired, unemployed)
___ $35    6-hour session   Number of 6-hour Workshops ___
___ $15    3-hour session   Number of 6-hour Workshops ___

4. Workshop No. 14 -- Preparing for the CSW Exam
___ $20    Student Members
___ $25    Regular NASW Members
___ $40    Non-Members

4. Workshop No. 19 -- Meeting Professional Standards
___ $10    Everyone

All seminars are held at the NASW-NYC office, 50 Broadway, 10th Fl. (212) 668-0050, except for seminars #9 and #14, which are held at Hunter College School of Social Work, 129 East 79th Street.

I hereby authorize NASW to charge my:

___ MasterCard   ___ Visa    ___ Discover Card

Card Number: _________________________________

Expiration Date: _____________________________


Total amount:   $_____________

Signature: ___________________________________

Please be advised that: