Daystar Education, Inc. Registration Information --
Print and submit this form with payment to reserve a space
Name:
Street
Address:
City:
State:
Zip:
Home
Phone:
Work
Phone:
Message/Cell
Phone:
Email
Address:
Registration
for the 5 core certification classes - check off desired course(s)
Infectious
Disease RA/RR
$80
Mar 12, 2012
May 14, 2012
Aug 2, 2012
Sep 24, 2012
Nov 19, 2012
Professional
Ethics
$120
Feb 23-24, 2012
Jun 7-8, 2012
Aug 27-28, 2012
Oct 31-Nov 1, 2012
Addiction
Pharmacology
(includes book)
$220
Mar 14-16, 2012
May 16-18, 2012
Jul 16-18, 2012
Sep 26-28, 2012
Nov 14-16, 2012
Basic
Counseling Skills
$175
Mar 26-28, 2012
May 7-9, 2012
Jul 9-11, 2012
Sep 10-12, 2012
Nov 5-7, 2012
Group
Counseling
$175
Feb 15-17, 2012
Apr 25-27, 2012
Aug 20-22, 2012
Jun 27-29, 2012
Oct 10-12, 2012
Dec 12-14, 2012
Continuing Education Courses - check off desired course(s)
One
Day Workshops
Addiction
and Personality Disorders
$80
Apr 11,2012
Oct 4,2012
Adolescents and Addiction
$80
Feb 18, 2012
Jul 26, 2012
Assessing and Treating Sexual Addiction
$80
Feb 27, 2012
Apr 30, 2012
Jun 25, 2012
Oct 22, 2012
COD: Anxiety Disorders
$80
Mar 21, 2012
Sep 29, 2012
COD: Mood Disorders
$80
Mar 23, 2012
Sep 19, 2012
COD: Psychotic Disorders
$80
Mar 22, 2012
Sep 18, 2012
Criminality & Addiction
$80
Aug 1, 2012
Curriculum-based
Motivational Group
$80
TBA
Domestic Violence & Addiction
$80
May 19, 2012
Nov 17, 2012
Gangs:
Risk Assessment & Interventions
$80
May 24, 2012
Nov 29, 2012
Homelessness & Addiction
$80
Mar 29, 2012
Racism as an Ethical Issue
$80
Feb 2, 2012
May 23, 2012
Aug 24, 2012
Nov 2, 2012
Relationships and Addiction
$80
Jun 12, 2012
Sep 15, 2012
Dec 3, 2012
Resolving
Client Shame
$80
Apr 2, 2012
Oct 2, 2012
Transforming Grief
$80
May 15, 2012
Trauma & Substance Use Disorders
$80
May 11, 2012
Nov 12, 2012
Treating
African American Clients
$80
Apr 5, 2012
Sep 7, 2012
Treating
Co-dependent Behaviors
$80
Feb 20, 2012
Aug 7, 2012
Treating
Marijuana Dependence
$80
Apr 16, 2012
Sep 6, 2012
Two
Day Workshops
ASAM & Client Record Management
$120
May 3-4, 2012
Sep 20-21, 2012
Client
Counselor Boundary Issues
$120
Mar 8-9, 2012
Oct 24-25, 2012
Co-occuring
Disorders
$120
Apr 23-24, 2012
Dec 10-11, 2012
DBT
$150
Feb 29-Mar1, 2012
Aug 14-15, 2012
Families
& Addiction
$120
Apr 12-13, 2012
Oct 8-9, 2012
MI
Theory and Practice
$120
Feb 9-10, 2012
Aug 16-17, 2012
Teaching
Side of Treatment
$135
Apr 18-19, 2012
Theories
of Treatment and Counseling
$120
Feb 7-8, 2012
June 4-5, 2012
Aug 9-10, 2012
Oct 15-16, 2012
Treating Latinos & Diverse Cultures
$120
Apr 20-21, 2012
Nov 30-Dec 1, 2012
Four
Day Workshops
Clinical
Supervision Workshop Hours are 8:30 AM to 4:30 PM.
$295
TBA
All
workshops are at the Daystar classroom in Portland -- Workshops run from
9-4:30.
Confirmations are sent 2 weeks prior to workshop. Listing here
does not guarantee availability as registration forms are manually processed.
People will be contacted by phone if workshop is filled or canceled. Cancellation Policy: Refunds are ONLY given with two weeks
notice. Credit for future workshop good for one year for less notice.
Payment
Payment
(check or credit card number) must be submitted with this form to reserve
a space. 2010-2011 Discount: 5 core classes pay all at once 10% savings
$693. Please fill in all spaces below if paying with a credit card. Please see Frequently Asked Questions for other payment information.
Total
Workshop Cost to Bill to Card:
Cardholder
Name:
Daytime
Phone Number:
Visa
or Mastercard Number (No AMEX):
Expiration
Date:
Submit
this form with payment to: Daystar Education, Inc, 2054 N. Vancouver,
Portland, Oregon 97227
Phone: (503) 234-1215
Accomodations
Daystar
has reduced rate agreements with Shilo Inn and Holiday Inn for those who
need overnight accomodations when attending a Daystar class. To learn more
about the Shilo Inn, click
here. For the Holiday Inn, call 503 233-2401 and mention that you are
attending a Daystar class.