WI APSE 2011 Conference Registration

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We will be back at the fabulous Osthoff Hotel in Elkhart Lake, WI.

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Training Outline and Schedule 10:15 – 11:45 Figuring Out What Type of Job to Look For: Best Practices in Assessment 12:00 – 1:15 WI APSE Awards Luncheon 1:30 – 3:00 Finding the Right Job: Best Practices in Job Development 3:00 – 3:15 afternoon break 3:15 – 4:45 Keeping a Good Job: Job Coaching and Positive Ongoing Relationships with Employees and Employers 1

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5:00 – 6:00 pm – WI APSE Conference Reception featuring the relaxing marimba music of Ricardo Vasquez. Light Hors D’Oeuvres and cash bar will be available – all conference attendees and presenters are welcome!

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!"#$%&'(&$)*+(*,+-""% WHEN EVERYBODY WORKS WISCONSIN WINS!!"!#$!%&'(!)*+!,-.! #/012*0/*!$*,.34),.+!(567285.*,!9.,:24;!%99<%=!>?9@(A(9>( !"#$%&'

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( ( ) * +(,-.. !),!,-.! !/#0$11(2$#&3!/*!(=BC%AD!=%B(E!#$! !"#$%#&'()*+)',-$.#+/0'-#$'($1#2)#34#*$56)" (please complete this page for each individual attending – payments can be combined using page 4)

Name: Organization: E-Mail: Phone Number: Accommodations or special dietary needs: Please check the appropriate box(es) below and fill in the total amount due. Payment information is on page 4.

APSE Member/Family Member Consumer Price Full Conference Oct 4th - 5th 1 and ½ days

Non-APSE Members

$125.00

$175.00

(space is limited to 25 people)

$125.00

$175.00

Early Bird Special Register for the full conference by August 15th and take $25.00 off of your total!

– $25.00

– $25.00

Employment Support Basics Training Tuesday October 4th (price also includes attendance at conference sessions on October 5th) Register for this full day training at the same cost as the conference

TOTAL AMOUNT DUE

$

WI APSE Tax ID #/ EIN is now #39-1889238

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!"#$%&'(&$)*+,*-)'.(&$)* Please send registration form and payment to: (We accept Visa/MC credit card payments or checks made payable to WI APSE )

WI APSE/Nancy Molfenter 207 North St. Sun Prairie, WI 53590 e-mail: [email protected] (underscore between nancym and wiapse) phone: (608) 220-4524 fax: (608) 299-3746 For Payment by Visa or MasterCard, please complete the following Information: (Please be aware that credit card payments for the conference may show up on statements as going through PayPal or the ARC-WI)

Card holder name: Card Number: Expiration Date: Total Amount Authorized: Signature of Card Holder:

3-digit code:

Rooms at the Osthoff will be available at the special rate of $70.00 for singles and $100.00 for doubles until September 5th - just tell them you are with the APSE room block. For room reservations at the Osthoff Hotel, please contact the hotel directly at: 1-800-876-3399 920-876-3366 www.osthoff.com !"##

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