ADPCA 2017 Conference Registration
​The Annual Meeting of the Association for Development of the Person-Centered Approach will begin on Wednesday, July 19th at 6:30 p.m. and will end on Sunday, July 23rd at noon.

All dorm and meeting rooms are located at the University of Illinois at Chicago, Student Center East, 700 South Halsted Street, Chicago, Illinois 60607.

Contact Information
First Name:
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Last Name(s):
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Affiliation: (if needed)
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Email:
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Phone:
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Street Address:
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City:
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State/Province:
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Country:
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Zip/Postal Code:
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Conference Registration
Conference Fees (Please select one)
Attending Pre-Conference Workshop? (no extra cost)
Request for Scholarship to assist with Registration Fee
We will keep in touch with you by email as we learn how much money is available for scholarships.
I would like to request a scholarship for assistance with conference registration fees.
If you are requesting a scholarship, please enter the amount you are requesting below:
Your answer
Donation to Scholarship Fund
Donations to the scholarship fund allow more people to enjoy our conferences. Please note that ANY amount helps and donations are tax-deductible. Thank you!
I would like to donate to the scholarship fund in the amount of:
Your answer
Housing
Dorms are located in the same building as conference meeting rooms at the University of Illinois at Chicago Student Center East, 700 South Halsted Street, Chicago, Illinois 60607.
Single or double occupancy room?
(For a double room, you will be assigned a roommate unless you request to room with a specific person).
Which nights will you be staying?
Staying before and/or after the conference?
I would like to be placed in a room with:
Your answer
(Please note: four dorm rooms share one large bathroom, regardless of occupancy)
Sports Center
I would like to use the Sports Center ($15/day):
Parking
​Parking is available in the Halsted/Taylor Parking Structure (HLPS), directly across the street from Student Center East.
I would like to purchase a 1 week parking pass ($62)
Total Costs
Please add up your conference costs and total them below.
Conference Registration Total:
Your answer
Scholarship Contribution Total:
Your answer
Housing Total:
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Sports Center Total:
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Parking Total:
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Grand Total (include all of the above categories)
Your answer
USA Attendees:
Please pay by check made out to "ADPCA 2017" and mail to:

ADPCA 2017 c/o Chicago Counseling Associates
1000 W Diversey Pkwy, Suite 275
Chicago, IL 60614

International Attendees:
Any money being sent from outside the USA should be sent via paypal.com to adpca2017@gmail.com
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