Forensic Psychology Conference
- Forensic Psychology Conference Registration Form
- Speaker Bios

Forensic Psychology Conference Registration Form

Forensic Psychology Conference Registration Form
THE COURT IS IN SESSION: PSYCHOLOGISTS ON THE STAND

A Case of A Child Custody Evaluation

Conference co-sponsored by The Forensic Division of the New York State Psychology Association and in close collaboration with the Nassau County Psychological Association.

Date: September 30, 2012
Time: 8:30a.m.-4:30p.m.
Location: Moot Court-Law School at St. John’s University, Queens Campus

Name:

Phone Number:

()-

Address:

City:

State:

Zip:

E-mail:

I am a (choose one):

CE Credits:

Yes
No

CLE Credits (very tentative, pending approval):

Yes
No

REGISTRATION FEE
Limited Seating - Register Early

Type	Early Registration extended to 9/16/12	At the Door
Students	$35	$45
Forensic Division Members	$80	$110
NYSPA (Non-Division) Members, NCPA Members and/or St. John's University Faculty	$95	$130
Attorneys: (take off $25 if requesting discount)	$115	$130
General (Non-NYSPA/NCPA/St. John's) Admission	$115	$150
CE Credits
NYSPA Members, NCPA Members and/or St. John's University Faculty	$15	$15
General (Non-NYSPA/NCPA/St. John's) Admission	$20	$20
CLE Credit (Very tentative)	pending	---
Webinar	$35 Registration only available until 9/27/12	---

Please send payment to:
Rafael Art. Javier, Ph.D., ABPP
Office of Postgraduate Professional Development Programs
St. John's University
Marillac Hall Room 402; 8000 Utopia Parkway; Jamaica, NY 11439
Email: initiatives@stjohns.edu
Phone: (718) 990-5460

To pay by credit card, please call (718) 990-5460
AMEX, VISA, MASTERCARD ACCEPTED
Registration will not be completed until payment is received