Association of Psychology Postdoctoral and Internship Centers

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APPIC 2012 Conference Registration Form

Before you Register

Welcome to APPIC's Online Registration Page for the 2012 Conference to be held in Tempe, Arizona, April 26-28. Hotel Rooms at the Tempe Mission Palms: Click Here. We are excited about our programming and looking forward to being your host. Here are a few things to know prior to registering for the conference:

  1. The Conference fee for APPIC Members is $345.00 before March 15, 2012. (Early Registration Rate)
  2. NonMembers may register for $400 before March 15, 2012.
  3. Directors of Clinical Training at APPIC Doctoral Program Associates (DPAs) also can register for $345 before March 15, 2012.
  4. AFTER March 15, 2012 all registrations are $425.00. (Later Registration Rate)
  5. The conference fee includes the Thursday evening reception; a full breakfast and lunch on Friday and Saturday; snack/beverage breaks both morning and afternoon on Friday and Saturday; CE credits; transportation to and from the Phoenix airport (for those staying at the hotel and using the shuttle bus available 5:30am-10:30pm); audio-visual package for the conference that includes wireless access in the large meeting room and your hotel room, and the poster presentation and reception on Friday afternoon (light appetizers/cash bar).
  6. If you plan to use a credit card to register - have it ready. We ONLY accept Master Card and VISA. You may also pay by check.
  7. You must fully complete the registration form before saving since the online system does not save an incomplete registration form.
  8. If you are planning to pay by check, you may do so. When we receive your check in the mail, we will email you at the email address on the registration form. Your registration will be complete at that time. Your check should be made out to: APPIC and mailed to: 17225 El Camino Real - Suite #170 - Houston, Tx 77058. Please make sure a copy of the registration form accompanies your check.
  9. Please "print and save" your registration form for your records if needed.
  10. The name used on the registration form will be the name that appears on your badge.
  11. There is no additional cost to attend the APA CoA accreditation workshops BUT you must register with APA Office of Program Consultation & Accreditation (202) 336-5979 and register for the APPIC Conference.

Conference Registration Information
*First Name
*Last Name
ABPP Specialty
*Address 1
Address 2
*Postal Code
*Email Address
Organization/Program Choose the affiliation you are representing at this conference:
 APPIC Member - APPIC Member Program Number (4 digits)
 Director of Clinical Training at an Academic Doctoral Training Program (Doctoral Program Associate) APPIC DPA Program Number (3 digits)
 Other (Non-Member)    Please Explain:
Registration Type  Internship Program
 Post Doctoral Program
 Academic Program
 Internship and Post Doctoral Program
Guest/Keynote Speaker
 Other    Please Explain:
Role  Training Director
 Director of Clinical Training
 Student Volunteer
 Staff Psychologist
 Academic Faculty
 Other    Please Explain:
Special Accommodations or Dietary Needs/Restrictions Please indicate any special needs you may have and we will do our best to accommodate:

Conference Program Selection
Thursday Selections - April 26, 2012
8-5pm - APA CoA Site Visitor Training Workshop (Must Register with APA OPCA)(20 Remaining)
10am - 4pm APA CoA Self Study Workshop for Applicant or New Programs (Must Register with APA OPCA)(Sold Out)
5:30pm - Opening Keynote Address & Reflections on the Future of Psychology(54 Remaining)
6:30pm - Opening Reception(66 Remaining)
Friday Selections - April 27, 2012
Friday Breakfast Buffet(7 Remaining)
Friday Lunch Buffet(3 Remaining)
5:30pm - Poster Presentation Reception - Lite Appetizers - Cash Bar(66 Remaining)
Saturday Morning Selections - April 28, 2012
Saturday Breakfast Buffet(16 Remaining)
Saturday Lunch Buffet(18 Remaining)
Saturday Afternoon Workshop Selections - April 28, 2012
Please indicate the workshop(s) you are most likely to attend (Not Binding but we need an estimate):
1-5pm - APPIC New Training Director Workshop - Drs. Lisa Kearney & Karen Taylor(128 Remaining)
1-3pm - APA Advocacy Training Workshop - Dr. Nina Levitt(34 Remaining)
1-3pm - ABPP Competence & Board Certification - Dr. David Cox(10 Remaining)
3-5pm - APPIC Clinical Supervisors Workshop - Dr. Jennifer Cornish(3 Remaining)
3-5pm - Helping Non Accredited Programs Move Toward Accreditation - Drs. Gene D'Angelo & Sharon Berry(82 Remaining)
12-6pm - APA CoA Self Study Workshop for Currently Accredited Programs - Must PreRegister with APA(15 Remaining)

Meal Selection
Spouse/Guest Meals (0 = No Meals)
The registration fee includes ALL meals including the Receptions.
 Guest: Friday Breakfast Buffet $36.00(46 Remaining)
 Guest: Friday Lunch Buffet $48.00(46 Remaining)
 Guest: Saturday Breakfast Buffet $36.00(46 Remaining)
 Guest: Saturday Lunch Buffet $48.00(46 Remaining)

Cancellation/Refund Policy:
Full refunds minus a $25 administrative fee will be granted for requests made in writing and received at APPIC Central Office before March 31, 2012. No refunds will be given after March 31, 2012. For questions contact the Conference Chair, Dr. Arnold Abels,
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