Please refer to Speaker Bios, Workshop Descriptions & Learning Objectives prior to
completing conference registration.

Do not click back button or leave this page or all information will be lost.

Please enter your First Name:           Please enter your Last Name:

Mailing Address:

City:                           State:       Zip:

Home Phone:     

E-Mail:               
                                    *NOTE: CONFIRMATIONS WILL BE SENT BY E-MAIL ONLY

Please Indicate which of the following best describes your role: Please Select SUNY New Paltz Faculty/Staff SUNY New Paltz Student Non-SUNY New Paltz Student Mental Health Professional Social Services Professional Hospital/Medical Professional Educational Professional Uniformed Services/First Responders Red Cross Worker Spiritual Care Provider Community Member Other

May We share your information with other attendees?    yes    no

Registration   $60 - Registration $25 - Non-SUNY New Paltz Students Free - New Paltz Faculty, Staff or Students
(Fee includes continental breakfast, lunch, hot beverages and educational materials. Advance registration fees expire after
March 17th. Fee will then be $60.00.)

You may pay by sending in a check with this printed registration form to the address below. You may also pay here with Visa, Mastercard.

Credit Card Type: Visa Mastercard

Credit Card Number:        Expiration:

---

 

Please select workshop preferences:

First Choice: David Riggs, Ph.D., Difficulties In Family Reintegration Following Military Deployments Patricia Resick.Ph.D., An Overview of Cognitive Processing Therapy for Treating PTSD Edward Tick, Ph.D. and Larry Winters, LMHC, Healing the War-wounded Soul Pam Atkins, Ph.D., Suicide in Soldiers Fred Bush, LMSW and Kai Chitaphong, LMSW, Reducing Stigma, Increasing Access for Returning Service Members Paul Greene Ph.D. and Dianne Kane, D.S.W., Lessons Learned from 9/11 work with First Responders: How can we Apply These to Work with Returning Vets? Laura Payack, M.A., Talk, Listen, Connect: Helping Families with Deployments, Homecoming, and Changes Rev. Frank Wismer and Chaplain Lyn Brown, L.C., Life and Death in the Garden of Eden: The Role of Clergy in Helping Veterans, Active Military, and Their Families Rachel Yehuda, Ph.D., Treating Returning War Veterans Please Select First Choice Workshop

Second Choice: David Riggs, Ph.D., Difficulties In Family Reintegration Following Military Deployments Patricia Resick.Ph.D., An Overview of Cognitive Processing Therapy for Treating PTSD Edward Tick, Ph.D. and Larry Winters, LMHC, Healing the War-wounded Soul Pam Atkins, Ph.D., Suicide in Soldiers Fred Bush, LMSW and Kai Chitaphong, LMSW, Reducing Stigma, Increasing Access for Returning Service Members Paul Greene Ph.D. and Dianne Kane, D.S.W., Lessons Learned from 9/11 work with First Responders: How can we Apply These to Work with Returning Vets? Laura Payack, M.A., Talk, Listen, Connect: Helping Families with Deployments, Homecoming, and Changes Rev. Frank Wismer and Chaplain Lyn Brown, L.C., Life and Death in the Garden of Eden: The Role of Clergy in Helping Veterans, Active Military, and Their Families Rachel Yehuda, Ph.D., Treating Returning War Veterans Please Select Second Choice Workshop

Third Choice: David Riggs, Ph.D., Difficulties In Family Reintegration Following Military Deployments Patricia Resick.Ph.D., An Overview of Cognitive Processing Therapy for Treating PTSD Edward Tick, Ph.D. and Larry Winters, LMHC, Healing the War-wounded Soul Pam Atkins, Ph.D., Suicide in Soldiers Fred Bush, LMSW and Kai Chitaphong, LMSW, Reducing Stigma, Increasing Access for Returning Service Members Paul Greene Ph.D. and Dianne Kane, D.S.W., Lessons Learned from 9/11 work with First Responders: How can we Apply These to Work with Returning Vets? Laura Payack, M.A., Talk, Listen, Connect: Helping Families with Deployments, Homecoming, and Changes Rev. Frank Wismer and Chaplain Lyn Brown, L.C., Life and Death in the Garden of Eden: The Role of Clergy in Helping Veterans, Active Military, and Their Families Rachel Yehuda, Ph.D., Treating Returning War Veterans Please Select Third Choice Workshop
We will assign you to one of these workshops based on availability and will notify you about your assignment prior to the conference.

I have provided mental health services/spiritual care to an active
military service member, a recent veteran, or their family in the past.    Yes No

I currently am providing mental health services/spiritual care to
an active military service member, a recent veteran, or their family.    Yes No

Please indicate if you need a vegetarian lunch option.
Please indicate if you need an American Sign Language interpreter
     ( Register by March 15, 2008 if you need an interpreter.)

 

Conference facilities are wheelchair accessible. Please call Conference Services at (845) - 257 - 3033
if you use a wheelchair or have other accessibility needs.

Christine Waldo-Klinger
Conference Services
SUNY New Paltz
1 Hawk Drive, HAB 63
New Paltz, NY 12561