Practical Counseling Strategies Workshop Registration Form

Registration Form

 Please complete this form, print out and return with check made payable to New York University to:

NYU Steinhardt 

Department of Communicative Sciences and Disorders

665 Broadway, 9th Floor

New York, NY 10012

Attn: Monica Graham

 

Name:

 

Facility:

 

Address:

 

City, State, Zip:

 

Email:

 

Phone:

 

*For NYU supervisor discount, please list semester(s) and year(s) of supervision:

 

There will be no receipt mailed, your cancelled check will serve as your receipt.

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