2021 Virtual LICAC Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Long Island Counselors' Annual Conference
Time: 9:30 am - 2:15 pm ET
Where: Zoom (Link will be provided prior to the event)

Email *

Last Name *

First Name *

Mobile Number *

School/Agency *

Current Position *

Elementary School Counselor

Middle School Counselor

High School Counselor

College Representative

Graduate Student/Intern

School Psychologist

Social Worker

Retired

Session A 11:00 am - 12:00 pm ET (Select 1)

Workshop # 1 Colleges in the Post-Pandemic World

Workshop #2 Own the Process

Workshop #3 Counselor Self-Care

Clear selection

Session B 12:10 - 1:10 pm ET(Select 1)

Workshop #1 A Mindful Break: Coping Skills for Counseling Professionals

Workshop #2 DACA 101

Workshop # 3 Continuing the Conversation on Neurodiversity

Clear selection

Session C 1:15 - 2:15 pm ET (Select 1)

Workshop #1 Understanding The Needs of Students with Thoughts of Suicide

Workshop #2 Supporting Our Youth: Grief and Loss in s Post-Pandemic World

Workshop #3 College Board Up-Dates

Clear selection

Current Membership Status *

NCA

WSCA

EECA

Non Member

Cost to Attend

What is your payment method? *

Check or Purchase Order (Make payable to LICAC) Mail to LICAC 595 Route 25A - Suite 18 Miller Place, NY 11764

I will e-mail gsp@laurelpublications.net to charge my credit card

How much will you pay? *

$25- NCA/EECA/WSCA Regular Member

$20 - NCA/EECA/WSCA Student Member

$55 - I will join NCA Regular Membership

$50 - I will join WSCA Regular Membership

$60 - I will join EECA Regular Membership

$40 - I will join NCA Student Memership

$40 - I will join WSCA Student Membership

$35 - I will join EECA Student Membership

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms