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2020 Conference Registration Form

Note to APOSW Members

If you are an APOSW member, you must be logged in to receive member pricing.

If you are already logged in, your name and email address will appear in the form below.

Required Fields

Fields with an * after their label are required fields.

Administrator Questions
Important Note: Administrators must answer the following before proceeding to complete the Registrant Information section of the form.
Is Complimentary - Admin Only*
Is this a complimentary conference registration?
- Yes
- No
Is Member - Admin Only*
Is this conference registrant an APOSW member?
- Yes
- No
Registrant Information
Name*
First Last
Email*
Credentials
Affiliation*
Institution or Company Name
Department
Primary Phone*
Fax
First Time Attendee?*
APOSW Past Board Member*
Mailing Address
Address*
Address 2
City*
State/Province*
Zip Code*
Country
Conference Registration - Early Bird
Registration Type - Early Bird*
Select one of these Non-Member options.
- Non-Member ($650.00)
- Student Non-Member ($250.00)
- One-Day Non-Member ($225.00)
Registration Type - Early Bird - Member*
Select one of these APOSW Member options.
- Full Member ($450.00)
- Associate Member ($520.00)
- Student Member ($200.00)
- Retired Member ($250.00)
- One-Day Member ($175.00)
Conference Registration
Registration Type*
Select one of these Non-Member options.
- Non-Member ($750.00)
- Student Non-Member ($350.00)
- One-Day Non-Member ($325.00)
Registration Type - Member*
Select one of these APOSW Member options.
- Full Member ($550.00)
- Associate Member ($620.00)
- Student Member ($300.00)
- Retired Member ($300.00)
- One-Day Member ($275.00)
Conference Registration - Administrator
Registration Type - Early Bird - Administrator*
Select one of these Non-Member options.
- Non-Member ($650.00)
- Student Non-Member ($250.00)
- One-Day Non-Member ($225.00)
Registration Type - Early Bird - Member - Administrator*
Select one of these APOSW Member options.
- Full Member ($450.00)
- Associate Member ($520.00)
- Student Member ($200.00)
- Retired Member ($250.00)
- One-Day Member ($175.00)
Registration Type - Administrator*
Select one of these Non-Member options.
- Non-Member ($750.00)
- Student Non-Member ($350.00)
- One-Day Non-Member ($325.00)
Registration Type - Member - Administrator*
Select one of these APOSW Member options.
- Full Member ($550.00)
- Associate Member ($620.00)
- Student Member ($300.00)
- Retired Member ($300.00)
- One-Day Member ($275.00)
Registration Type - Complimentary - Administrator*
Select one of these APOSW Member options.
- Full Complimentary ($0.00)
- One-Day Complimentary ($0.00)
Select a Day
One-Day Choice*
Note: You have selected a One-Day Conference Registration. Please select the day you would like to attend.
- Monday - 04/27/2020
- Tuesday - 04/28/2020
- Wednesday - 04/29/2020
Roommate Locator
Roommate Locator
I would like assistance locating a roommate
Pre-Institutes
You chose a One-Day registration that does not qualify for any Pre-Institute events.
Pre-Inst-Sunday
Sunday, April 26, 1:30 PM - 5:00 PM
- An Introduction to Pediatric Hematology Oncology Social Work
Pre-Inst-Monday
Monday, April 27, 7:30 AM - 8:30 AM
- Challenges and Opportunities for Solo Social Workers in Pediatric Oncology
Breakout Sessions
Breakout Session Monitor
Breakout Session Monitor

I am interested in being a Breakout Session monitor
Breakout 1
Monday, April 27, 10:45 AM - 12:00 Noon
Note: Choose "-- Select One --" to clear all entries.
- -- Select One --
- Breaking Down the Walls of Cultural Competency: Building the Bridge to Cultural Humility
- Advocating for Sibling Stem Cell Donors: Hearing Their Voices
- Mentorship and Beyond: Innovative Ways of Addressing the Unique Needs of Our Patients and Families
- Tackling Food Insecurities Together
- The Intersection of Hope and Denial: Psychosocial Considerations in the Treatment of Cancer Patients and their Families
Breakout 2
Tuesday, April 28, 10:15 AM - 11:30 AM
Note: Choose "-- Select One --" to clear all entries.
- -- Select One --
- Pediatric Psychosocial Rounds: A Structured Interdisciplinary Model for Psychosocial Assessment and Treatment Planning
- Breaking the Barriers: A First-hand Look at the Impact of Sibling Support and a Vision of Growth for the Future
- Childhood Cancer Survivorship: Examining Post-Treatment Trauma and Healing
- Social Work Led Pediatric Caregiver Support Group at RMH: Providing Healing to Caregivers in their Residential Environment
- Minimizing the Risks of Burnout: Promoting Resilience through Healthy Work Environments
Breakout 3
Wednesday, April 29, 10:15 AM - 11:30 AM
Note: Choose "-- Select One --" to clear all entries.
- -- Select One --
- The Power of Remembrance
- If You Build It…Will They Come? Lessons Learned from the Design and Pilot of a Parent Psychoeducation Group in a Pediatric Oncology Clinic
- The Language of Illness: The Art of Telling, Listening and Self-Care through Narrative Medicine
- Speaking Up: Helping Cancer Survivors Find Their Voice
- Concurrent Care in Pediatric Oncology: Developing a Collaborative Relationship between a Hospital and Community-Based Setting
Networking Luncheon / Business Meeting / Awards Ceremony
Tuesday, April 28, 2020 11:45 AM - 1:45 PM
You chose a One-Day registration that does not qualify for the Networking Luncheon / Business Meeting / Awards Ceremony.
Networking Luncheon / Business Meeting
Will you attend the Networking Luncheon / Business Meeting?
- I will attend
- I will not attend
Dietary Requirements
Special Dietary Requirements
- Vegan
- Vegetarian
- Gluten-Free
- Kosher
Special Interest Groups
Tuesday, April 28, 2020 3:45 PM - 5:15 PM
You chose a One-Day registration that does not qualify for the SIG Interest Group sesson.
SIG Facilitator
SIG Group Facilitator
- I am interested in being a Special Interest Group (SIG) facilitator
SIG to Attend
Note: Choose "Select one session to attend" to clear all entries.
- Select one session to attend
- AYA
- Blood and Marrow Transplant
- Community-Based Programs
- End of Life / Palliative Care
- Neuro-Oncology
- Survivorship / Late Effects
Interactive Educational Sessions
Wednesday, April 29, 12:45 PM - 2:15 PM
You chosen a One-Day registration that does not qualify for any Interactive Educational sessions.
Interactive Educational Sessions

Please select one Interactive Educational Session to attend
Note: Choose "-- Select One --" to clear all entries.
- -- Select One --
- Complex Case Consultation
- Research and Publication: How to be a Clinician and Researcher Too
- How Long Can I Last? Developing Strategies for Sustaining and Growing as a Pediatric Oncology SW
Payment Information
Have Discount

Do you have a Sponsor Discount Code?

If so, check the box below to continue.
- Do you have a Sponsor Discount Code?
Sponsor Discount Code*

Enter your Sponsor Discount Code code above and click the Apply button.
Total
$0.00
Payment Method*
I would like to pay by:
- Credit Card
- Check
Payment Method - Administrator*
I would like to pay by:
- Credit Card
- Check
- Manual
Payment Method - Administrator - Complimentary*
You have indicated that this is a complimentary conference registration.
- Complimentary
Credit Card

Card Details

Cardholder Name
Check Payment Status
Check Payment Status

Your registration will be activated when your check has been received and processed.
- Pending
Additional Information
Submitting Your Registration

You must click the Submit button, below, in order to record and submit your conference registration.

Check Payment

Check payment instructions will be included in an email confirmation that you will receive after you submit your registration.

Cancellation Policy

In order to accommodate unexpected emergencies, we will accept notification of cancellations up to 10 business days prior to the start of the conference (April 13, 2020). Cancellations must be sent in writing via email to info@aposw.org. Refunds will be issued less a $100 processing fee.

Photography Release

APOSW reserves the right to use videos, audio and photographs of conference attendees, exhibitors, sponsors, and speakers taken during the conference for future educational and marketing purposes.

APOSW Tax ID/EIN#

25-1428562
Comments
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Copyright 2021 Association for Pediatric Oncology Social Workers