Level 1 Training: Social Resilience Model (SRM) - September 2015

September 18-20, 2015 Level I Training, Social Resilience Model (SRM) at John Jay College of Criminal Justice, West 59th Street, New York (mid-town Manhattan).

Online Registration Form for SRM Level 1 September 2015

Your Name*
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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tell Us A Little About Yourself
Field of Work
Field of Work: Other
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Registration Fees
How do you want to pay your fee?*
- Credit Card
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Registration Fee
- $585: Individual Rate
- $525: Group Rate (3 or more)
- $350: Scholarship Rate (Please email leitch@thresholdglobalworks.com before selecting this option)
- $350: Refresher Course (If you have taken this training before)
Others In Your Group*

The discounted group rate applies when two or more people are attending the training together. List the people in your group who are also registering. NOTE: Every person in the group must register separately.
CEU credit?*
- No
- Yes
Do you want to receive CEU credit for your participation? Eighteen CEUs are available for a fee of $25 and are provided through the NM Counseling and Practice Board. It is the responsibility of the participant to determine their eligibility for CEUs as not all disciplines are covered. Example, psychologists, physicans and nurses are not.
CEU Type and License Number

If you wish to receive CEU credits, please provide your license number and type.
Total
$0.00
This is your registration fee.
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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After submitting this form, you will be taken to PayPal to complete your payment.
When writing your check, please make it payable to Threshold GlobalWorks and mail it to:

Threshold GlobalWorks
c/o Leitch
111 Lawrence Street #41L
Brooklyn, NY 11201
Confirmation of Registration
Immediately after submitting this form, you should receive an email acknowledging that we have received your registration form. A separate confirmation will be sent when your payment has been received. You are not considered registered for this training until your payment has been received. Training details will be sent 7 days prior to the first day of training.
Cancellation Policy
Threshold GlobalWorks will refund the amount paid, minus a $100 cancellation fee for any written cancellation request received at least 30 days prior to the starting date of the training. No refunds will be made with less than 30 days notice.
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Level 1 Training: Social Resilience Model (SRM) – September 2015

Online Registration Form for SRM Level 1 September 2015

Tell Us A Little About Yourself

Registration Fees

Confirmation of Registration

Cancellation Policy

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