Trauma Informed Practices: Evidence-Based Interventions & Strategies

That Support Today’s Youth

Earn Up To

17 CEUs!! Post Tests,

Clinical Sessions, & Ethics Available

Experience Minnesota Via The 16th Annual

Minnesota School Social Workers Association

Summer Institute

June 18—20, 2018

Sugar Lake Lodge, in Cohasset, MN, near Grand Rapids Less than 4 hours from the Twin Cities!

Participants may earn undergraduate or graduate credits from Minnesota State University, Mankato. Please contact Molly Fox at molly.norris@mnsu.edu or mnorri1@isd77.org for more information.

Additional work outside the Summer Institute will be required.

www.msswa.org

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence– Based Interventions & Strategies That Support Today’s Youth

Pre-Conference A: “Very Young Girls” Film & Discussion to Follow Very Young Girls is an exposé of the commercial sexual exploitation of girls in New York City as they are sold on the streets by pimps and treated as adult criminals by police. The film follows barely adolescent girls in real time, using vérité and intimate interviews with them, documenting their struggles and triumphs as they seek to exit the commercial sex industry. The film also uses startling footage shot by pimps themselves, giving a rare glimpse into how the cycle of exploitation begins for many women. The film identifies hope for these girls in the organization GEMS (Girls Educational and Mentoring Services), a recovery agency founded and run by Rachel Lloyd, herself a survivor of commercial sexual exploitation. GEMS is committed to ending commercial sexual exploitation and domestic trafficking of children by changing individual lives, transforming public perception, and revolutionizing the systems and policies that impact commercially sexually exploited youth. Very Young Girls will change the way law enforcement, the media, and society as a whole look at the commercial sexual exploitation, street prostitution, and human trafficking that is happening right in our own backyard. This session can help meet the MN Board of Social Work’s requirement of 2 accredited clinical content hours.

Dan Porter, MSW, LICSW has over 27 years experience working with children, adolescents, and families in public, residential, hospital and day treatment programs. He is currently a school social worker on special assignment addressing mental health needs district wide with Northeast Metro Intermediate School District 916. Dan provides Clinical Supervision to multiple social workers for the Profession Matrix. He teaches multiple courses at the University of Minnesota School of Social Work as part of their Clinical Practice and Supervision Series. He received his BA in Social Work and Sociology, his Master’s in Clinical Social Work, and has a Director of Special Education License. Dan serves as the Board President for the Minnesota Association for Children’s Mental Health, MSSWA Board (Professional Development Chair), Minnesota School Social Workers Association Region 10

Representative, Board of Social Work Advisory Committee, and the Special Education Advisory Committee with Minnesota Department of Education. He has presented at numerous conferences throughout the Midwest on topics such as strategies for supporting youth, promoting student self-esteem, ethical issues, school-based social skills programs, ACES (Adverse Childhood Experiences) and program development. Dan was named Minnesota School Social Worker of the Year in 2012. —————————————————————————————————————————————-

Summer Institute Participants Will…

Learn about evidence-based interventions; incorporate programs/techniques learned into daily practice; develop a network of colleagues that can support the implementation of evidence-based practice.

Please encourage your colleagues to attend! Content will be focused to support school social workers,

but other colleagues in the field will benefit as well!

Pre-Conference Agenda Monday, June 18th, 2018

3.5 CEU’s

7:30am to 8:00am Pre-Registration 8:00am to 10:00am Pre-Conference Session A: “Very Young Girls” Film & Discussion to Follow 10:15am to 11:45am Pre-Conference Session B: Helping Youth Build Executive Functioning Skills

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence-Based Interventions & Strategies That Support Today’s Youth

Featured Sessions

Monday, June 18th, 10:15am - 11:45am

Pre-Conference B: Helping Youth Build Executive Functioning Skills Executive functioning skills give children the mental abilities to self-regulate, plan, organize and focus attention to tasks. These skills are essential to academic success, but how do we help students build skills in these areas? Some children seem to develop executive functioning skills naturally, while others struggle, particularly those with an autism spectrum or similar diagnosis. Participants will leave with a better understanding of executive functioning skills and ways to help students develop these skills for a career of academic success in and out of the classroom. This is a team approach and tools can be used with any school staff. This session can help meet the MN Board of Social Work’s requirement of 1.5 accredited clinical content hours. Learning Objectives Leave with a better understanding of executive functioning skills and how they set up students for educational and

career success Identify stages of development and executive functioning skills built during that stage Acquire tips and activities to help youth build executive functioning skills in the classroom setting

Barb Stanton, PhD, LPCC, LMFT Dr. Stanton’s clinical work at the Anne Carlsen Center is focused on children and adolescents on the autism spectrum along with their caregivers. With many years of experience, Barb has learned to appreciate the infinite skills and talents of these amazing individuals as well as their struggles to navigate their environment. The focus of her care is on finding how to support people with ASD and similar diagnoses to achieve their highest level of success and gain skills for life. Barb lives in Pelican Rapids, MN with her rescue dog and guinea pig. Emily Coler Hanson, M.S., LMFT, CGP is currently employed as a Child and Adolescent Therapist with the Anne Carlsen Center. She is an approved supervisor through the American Association of Marriage and Family Therapy. She has worked as a therapist for the past ten years and has primarily focused her work on children, adolescents and their families. She has a particular interest in working with children who have experienced trauma, are on the autism spectrum, and prefers a team approach to helping children reach their goals. Her work often takes a strength based approach and is influenced by the Nurtured Heart Approach. She lives in Fargo, ND with her spouse, toddler son, and rescue dog.

Lakeside Yoga Self-Care by the Lake

Tuesday, June 19th, 4:00pm - 5:00pm

FREE to all attendees and their family members with advanced registration (see registration page). MSSWA has hired a yoga instructor to do a one hour class with

you. No experience is needed. (Bring your own yoga mat if possible, some may be available at the resort)

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence-Based Interventions & Strategies That Support Today’s Youth

Featured Sessions

Monday, June 18th, 1:00pm - 5:00pm

Connect Suicide Postvention Training - NAMI A suicide death can have a devastating impact on a school community. Since knowing someone who has died by suicide is a significant risk factor for suicide, taking steps to reduce and promote healing after a suicide (Postvention) becomes an integral part of suicide prevention efforts. Connect Suicide Postvention Training is a proactive planning tool to respond to a suicide or sudden death of a student, teacher or member of the community. Connect is a designated National Best Practice Program developed by NAMI NH. This session can help meet the MN Board of Social Work’s requirement of 4 accredited clinical content hours. Learning Objectives (Using National Best Practice protocols) Participants will gain awareness of the impact of suicide and risk of contagion on survivors or suicide loss

& communities

Participants will understand the grief that results after a suicide death and ways to strengthen coping Participants will identify protocols & best practices for communication after a suicide Participants review warning signs for promoting Postvention as prevention

Stephanie Downey, is the Regional Youth Suicide Prevention Coordinator for the Minnesota Department of Health Community Partners Preventing Suicide Program. Stephanie’s journey to her work in the field of suicide prevention grew from a passion to serve youth and families. Stephanie’s background and knowledge of youth mental health and substance abuse issues is rooted in a 20 year career at a residential treatment facility delivering assessment, mental health and dual diagnosis services targeting youth. Stephanie spent 9 years coordinating suicide prevention education, awareness and advocacy to communities in the Beltrami County area. Stephanie earned her Bachelor of Science Degree at Bemidji State University in Criminal Justice with minors in Chemical Dependency and Sociology. Amber Larson, is currently the Coordinator of School –Based Mental Health Services and Crisis Services at Stellher Human Services located in Bemidji, MN. She graduated from the University of North Dakota with a Bachelor of Science degree in Education. She then worked for Episcopal Community Services at the Archdeacon Gilfillan Center, a residential treatment center for youth. Here she was employed as a Direct Care staff, Supervisor, and Quality Assurance Manager. She began her employment with Stellher Human Services in 2007 providing CTSS as a school-based mental health practitioner in the Cass Lake Schools. She then moved to providing those same services in the Bagley School District for 7 years. During this time, Amber joined Stellher’s Mobile Crisis Team and served as an on-call provider for several years. In 2014, Amber took over as the Coordinator of Crisis Services for Stellher Human Services. The grant for the Youth Mobile Crisis Teams provides crisis services in

Beltrami, Clearwater, Hubbard and Lake of the Woods Counties. She is a certified instructor of Connect: Suicide Postvention, and is also certified by the Crisis Prevention Institute (CPI) as a trainer of Non-Violent Crisis Intervention since 2001 and provides several trainings a year. In 2015, Amber accepted the position of coordinating Stellher Human Service’s school-based mental health programs. Stellher provides school-based mental health services in 11 different school districts in Northwest Minnesota.

Please Join us for our Annual Welcome Reception Monday, June 18, 2018

6:00pm to 7:30pm Outdoor BBQ Area/Alexander III

Free Hors D’ Oeuvres & Cash Bar Prize Drawings and Raffle

Networking Bingo & Great Conversation!!

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence-Based Interventions & Strategies That Support Today’s Youth

Featured Sessions

Tuesday, June 19th, 8:30am - 3:30pm

School Professionals Unique Role in Adolescent Sexual Health Promotion (The 3R’s (Rights, Respect, Responsibility) Curricula will be provided to all conference attendees, and discussed during this session—Please ensure you select the appropriate grade level curriculum on registration form or on-line registration) As a trusted adult, you are likely discussing aspects of sexuality with young people already, including sexual decision making, consent and sexual violence, sexual orientation, gender identity and expression, sexual health, intimacy, and healthy relationships. Participants will learn best practices in facilitating one-to-one and group level discussions around sexuality topics in order to increase comfort and reduce barriers. This includes essential state and national laws that correspond to adolescent sexual health, newly-released tools, and understanding best practices for fostering safe and supportive school environments for all students and staff. This session can help meet the MN Board of Social Work’s requirement of 6 accredited hours (4 hours clinical content, 2 hours Ethics for 6 hours total). Learning Objectives: Participants will learn key strategies for working with students at heightened risk for pregnancy, HIV infection and

school-based bullying Participants will gain skills and confidence for working 1:1 with students when discussing sexual behavior and broader

sexuality issues

Participants will understand the legal and ethical basis for protecting student confidentiality with students’ disclosures of pregnancy, gender transition, sexual violence, or seeking access to sexual health services

Amy E. Marsicano, works on behalf of Minnesota students and families in the School Safety Technical Assistance Center at Minnesota Department of Education. Amy’s role includes providing direct support to families and school staff regarding bullying, sexual and gender harassment, policy education and inclusion issues. Separately, in partnership with the Centers for Disease Control PS-1308, Marsicano works to support improvements in school implementation practices for sexual health education to further Minnesota statute 121A. 23 for HIV prevention, and is privileged to work directly with select school partners on this capacity building initiative. Amy’s background includes leading teacher development in sexuality education, funded by the Ford Foundation, providing mandated training in sexual assault response, youth program development and direct services to LGBTQ adolescents. Brooke Stelzer, is an Adolescent Sexual Health Specialist at Minnesota Department of Education. She supports school districts to build their capacity to provide exemplary sexual health education, link young people to clinical services, and foster safe and supportive school environments for LGBTQ youth and staff. Brooke’s professional interests include authentic youth-adult partnerships, bridging efforts between sexual violence prevention and healthy sexuality education, and increasing young people’s access to clinical sexual health services. Brooke has served as a direct service provider, trainer, and consultant in the field of adolescent sexuality for the past 20 years in Minnesota and nationally.

Beach Bonfire by the Lake on Tuesday!

Come enjoy a bonfire overlooking the lake with your colleagues, new and old friends alike. We will supply the Smore’s supplies (Chocolate bars, marshmal-

lows and graham crackers - 6:00pm-6:30pm), you bring your beverage of choice and a blanket or chair. Come and join the fun!

Tuesday, June 19, 2018 (6:00pm to 8:00pm)

Resort Lakeside Firepit

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence-Based Interventions & Strategies That Support Today’s Youth

Featured Sessions

Wednesday, June 20th, 8:00am - 9:30am

Parents as Partners - Strategies to Build Relationships with Parents to Support their Children Considering Race, Ethnicity, Background, Experience and Culture Every day we have the opportunity to work with children who come from a variety of different family structures; as social workers, we have a fundamental understanding of family systems theory and the perspective of person in environment. We also understand empowerment theory and work within the framework of NASW code of ethics; AND we need to figure out how to partner with all of the families of our students. We come with a lot of background in understanding the complexities of these structures and how they impact our students in how they experience school. We know about genograms and ecomaps and how often do we use this knowledge in our everyday practice with families? We understand conflict theory but do we know our own conflict style and how that may play out in our everyday interactions? We have a fundamental understanding of race theory and how does that understanding come into practice when you are working with a family outside of your race, ethnicity or culture. This session will offer the participants the opportunity to reflect on their own knowledge and how to better operationalize this in our daily practice with students and their families. Participants will have time to reflect, share their own celebrations and challenges and leave with some concrete ideas of how to better connect with families themselves and to broker the relationships of families with the greater school community. This session can help meet the MN Board of Social Work’s requirement of 1.5 accredited clinical hours.

Learning Objectives: Participants will consider how their basic knowledge of family systems theory, empowerment theory, conflict theory

and PIE can provide a framework to increase their connections with parents and the parents connection to school Participants will learn their own personal conflict style and how that can be a helpful tool to better engage with parents

and manage challenging conversation Participants will discuss the impact of culture, mental health and special education and learn ways to overcome and

break down the barriers that may exist to service children in our schools

Participants will develop strategies to empower parents in the school community so that they are more involved in the school and their children's education

Heather Alden, MSW, LICSW, is a school social worker in St. Paul Public Schools, having worked in urban education as both a teacher and school social worker for over 20 years. She received her masters in social work at the University of Houston and undergraduate degree from Hamline University. Heather received the MSSWA MN School Social Worker of the year award in 2011 and was named the SSWAA National School Social Worker of the year in 2012. In 2015 she received the Hamline University Alumni, "Making the World a Better Place" award. Heather has provided professional development to educators, school social workers, other mental health professionals, and parents nationally and regionally. Heather is an adjunct professor at Augsburg College teaching both undergraduate and graduate education students. Heather has developed and has run a school-based mentor program Project Connection at EXPO Elementary for the past eight years that focuses on

students who have experienced trauma and their families having increased connections to school and adults who work there. Alden is an advocate for mental health awareness, increased parent involvement, social emotional learning, culturally competent practice and bullying prevention work. She is a mother of two daughter in middle school and is actively trying to raise them to be confidant, strong and smart young women.

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16th Annual MSSWA Summer Institute Trauma Informed Practices:

Evidence-Based Interventions & Strategies That Support Today’s Youth

Featured Sessions

Wednesday, June 20th, 9:45am - 11:45pm

Secondary Traumatic Stress Working with children who have experienced maltreatment can be incredibly rewarding, but also overwhelming and painful as you hear horrific stories and see firsthand the effects on children who have endured so much. You listen, stay present, take it in, and serve as a safe holding environment as they share their trauma experiences. Now what? Working with children who have experienced maltreatment places you at risk of burnout, high turnover and even developing symptoms of PTSD. The presentation explores the impact of secondary trauma and provides practical ways to assess it’s impact and identify steps to protect yourself and recover. This session can help meet the MN Board of Social Work’s requirement of 2 accredited clinical hours. Learning Objectives: Develop an understanding of burnout, vicarious trauma, secondary traumatic stress and compassion satisfaction Identify several risk and protective factors that impact secondary traumatic stress Identify individual and agency action steps and tools to lessen and heal from the impact of secondary traumatic stress

Pete Singer, MSW, LICSW has over 25 years’ experience working with trauma in a variety of settings, including schools, group homes, home-based services, outpatient therapy, and more. He has performed various roles, including Direct Service Professional, School Social Worker, Clinical Therapist and

Supervisor, Organization Executive Director, Consultant, and others. He has worked extensively with families, teens, and children who have experienced trauma, including maltreatment, medical trauma, assault, violent loss, and captivity. He is a Licensed School Social Worker, Registered Circle of Security – Parent

Educator, and Board-Approved Supervisor. He is scheduled to complete a certificate in Trauma-Effective Leadership from the University of Minnesota in 2018. Pete is the Founding Director of Care in Action Minnesota, a non-profit organization that works to equip the faith community and the broader community to

better prevent and respond to child maltreatment. He has served on several workgroups, including the Cultural Provider’s Network, Ramsey County Ending Racial Disparities Workgroup, Youth in Transition Workgroup, Washington County Foster Care workgroup, and more. He is a member of the National Child Protection Training Center's Speaker's Bureau. Pete started and acts as the Lead Consultant for Advanced Trauma Consulting. In that role, he provides training and consultation on individual and

organizational trauma-effective practices. He has presented at several local and national venues, including the Violence Intervention and Prevention Summit, Minnesota Association for Children’s Mental Health, Minnesota School Social Workers Association, Chaplains for Children, and local schools and faith communities. He provides ongoing consultation

to organizations in the legal, healthcare, and education fields.

FREE Kids Kamp !!! Ages 4-14. Must sign-up in advance on registration form

Enthusiastic and engaging counselors work hard to prepare daily activities - both indoor and outdoor - to keep your most beloved family members busy and experiencing endless fun, including activities such as golf, tennis, volleyball, bocce ball, nature hikes (with local Naturalist John Latimer!), fishing, swimming and so much more! Program runs daily (Mon - Fri) from 9am - 2pm.

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FREE 1 Hour Pontoon Boat Rides for our group (Sign-up 1st day of conference - 10 per boat) (Limited # of slots available—sign-up early)

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CONFERENCE AGENDA

Monday, June 18, 2018 7:30 am - 7:00 pm

7:30 am to 8:00 am Pre-Registration (Ballroom Foyer)

8:00 am to 10:00 am Pre-Conference A: “Very Young Girls” Film & Discussion to Follow: Dan Porter, MSW, LICSW: 2 Clinical CEU’s

10:00 am to 10:15 am Break

10:15 am to 11:45 am Pre-Conference B: Helping Youth Build Executive Functioning Skills: Barb Stanton, PhD, LPCC, LMFT & Emily Coler Hanson, M.S., LMFT, CGP 1.5 Clinical CEU’s

11:45 am to 12:45 pm Registration (Ballroom Foyer)

12:45 pm to 1:00 pm Welcome / Introduction and Overview of the Days Ahead

1:00 pm to 5:00 pm Connect Suicide Postvention Training, NAMI: Stephanie Downey, & Amber Larson: 4 Clinical CEU’s

5:00 pm to 6:00 pm Room Check-In / Break

6:00 pm to 7:30 pm FREE RECEPTION (Hors D’ Oeuvres & Cash Bar) - (Optional) - Prizes/Networking Bingo (Outdoor Lakeside BBQ/Tented Area, Firepit and Alexander III Room)

Tuesday, June 19, 2018 7:30 am - 8:00 pm

7:30 am to 8:30 am (Registration @ 8am)/Breakfast Buffet - Included/Networking Breakfast (Lodge Dining Room)

8:30 am to 12:00 pm School Professionals Unique Role in Adolescent Sexual Health Promotion: Amy E. Marsicano & Brooke Stelzer 4 Clinical CEU’s, 2 Ethics CEU’s

12:00 pm to 1:00 pm Lunch—Included (Lodge Dining Room)

1:00 pm to 3:30 pm School Professionals Unique Role in Adolescent Sexual Health Promotion:…. Continued

4:00 pm to 5:00 pm Lakeside Yoga (Optional) (Lakeside, behind Lodge)

6:00 pm to 8:00 pm Lakeside Beach Bonfire with Smore’s (Optional) (bring drinks & blanket or lawn chair)

Wednesday, June 20, 2018 7:00 am - 12:00 pm

7:00 am to 8:00 am (Registration @ 7:30am)/Breakfast Buffet - Included/Networking Breakfast (Lodge Dining Room)

8:00 am to 9:30 am Parents as Partners - Strategies to Build Relationships with Parents to Support their Children Considering Race, Ethnicity, Background, Experience and Culture: Heather Alden, LICSW: 1.5 Clinical CEU’s

9:30 am to 9:45am Break

9:45 am to 11:45 am Secondary Traumatic Stress: Pete Singer, MSW, LICSW: 2 Clinical CEU’s

11:45 am to 12:00 pm Closing / Evaluation & Wrap Up

All meetings held at Sugar Lake Lodge in the Alexander II & III meeting rooms.

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Location & Lodging Information Sugar lake Lodge 37584 Otis Lane Cohasset, MN 55721 Reservations: Call 1-800-450-4555 Resort Direct: (218) 327-1462 Website: www.sugarlakelodge.com Located in central MN on Sugar Lake, near Grand Rapids. (Less than 4 hours from the Twin Cities) Please see official website for more detailed directions.

Special Features

One complimentary 18-hole round of golf (green fees) on our championship course Sugarbrooke (bring own clubs and balls or rent clubs at resort)

Kids Kamp available daily 9am-2pm

Use of canoes, paddle boards, paddle boats, kayaks and row boats at NO CHARGE!

Complimentary use of bicycles, horseshoes, tennis/basketball courts, outdoor heated pool, swimming beach (activities are free, but bring your own golf balls, rackets, tennis balls/basketball - resort charges for these

Lakeside Fire Pit Reserved for MSSWA Tuesday evening

Complimentary pontoon boat rides Mon, Tues & Wed (sign-up 1st day of conference)

Yoga by the lake Tuesday June 19th, at 5:00pm free to attendees and family members (register in advance)

Each Institute participant will be responsible for their own lodging, taxes and fees. A deposit for reserving a room may be required. Sugar Lake Lodge has accommodated the Institute by offering a discounted rate for the allot-ment of rooms set aside. Reservations must be made by Friday, June 1, 2018 for guaranteed rate. Studio Villa, $115/night Lodge Studio, $129/night Lodge Suite, $199/night 2 Bedroom Villa, $199/night Lakeside Cabin, $225/night + Room Tax of 9.875% Request MSSWA prices and cite the Summer Institute when registering. To make a reservation call 1-800-450-4555.

Location Sugar Lake; where you can see the fish and the fish can see you. Let the games begin. It’s true, Sugar lake has a clarity rating of 26 feet and the locals know better than to fish it during the day. Sugar Lake is a special lake (just 1 of 4 in Minnesota) that truly look like the Caribbean. The lake is spring fed, has a sandy bottom and is nearly devoid of weeds. The lake is clearly our claim to fame but it certainly isn’t the only asset here at Sugar Lake Lodge. Other great reasons to visit include our professionally designed, 18-hole, on-site golf course, Sugarbrooke, and a tremendous variety of activities both in and out of the water. Round out a true Northern Minnesota resort experience with fine dining created by our full-time culinary-trained chef and, if that’s not enough, enjoy the warm summer breeze by the campfire. BRING THE FAMILY AND MAKE A VACATION OUT OF IT!

Accommodations Sugar Lake Lodge offers everything from the Lakeside Lodge Studios and Suites, Golf Course Studio Villas & 2 Bedroom Villas, and Lakeside Cabins.

Kids Kamp - Free! Enthusiastic and engaging counselors work hard to prepare daily activities to keep your most beloved family members busy and experiencing endless fun. Activities include golf, tennis, volleyball, bocce ball, nature hikes, fishing, swimming & so much more. Runs daily 9am-2pm - Must RSVP on registration form.

Relax at Otis’s Grill & Bar Overlooking Sugar Lake and the 18th hole of Sugarbrooke Golf Course, Otis’s Grill & Bar offers a casual pub environment serving hand-crafted burg-ers, chipotle chicken sandwich, pulled pork sliders, walleye, osso bucco, prime rib and other hearty offerings Indoor seating and outdoor deck dining is available, serving up great views of Sugar Lake, great conversation, and a menu to please all palates.

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Payment: Checks and Purchase orders must be made payable to MSSWA. If your registration monies are not in receipt of the Registration Committee by June 10th, you will be expected to pay any outstanding balance upon arrival, and pay a late fee of $35.00 NO EXCEPTIONS!

Mail your registration and payment (payable to MSSWA) to: Dan Porter/Tony Porter - 762 Meyer St N, Maplewood, MN 55119

1-612-803-2722 mplstonyjoel@gmail.com A confirmation e-mail will be sent when registration is received.-Please make a COPY of this registration for your own records.

———————————————————————————————————————————————————-- Minnesota School Social Work Association - Summer Institute 2018

EASY REGISTRATION ONLINE at WWW.MSSWA.ORG or Registration Form & Payment (print CLEARLY)

Name:___________________________________ E-mail:_____________________________________________

Address:____________________________________________ City:____________________________________

State:_______ Zip:_________ Phone:______________________ School District:__________________________

Please indicate any dietary concerns/special needs:___________________________________________________ WELCOME RECEPTION RSVP— Monday, June 18, 2018, 6:00pm to 7:30pm (free to registrants & their guests) ___ I Will Not Attend ___ I Will Attend ___ I Will Bring #_____of guests

KIDS KAMP Access (must RSVP) - Kids Kamp is available for ages 4-14, daily between the hours of 9am-2pm # of Children: _________ Ages of Children: __________________________

Please Select the Preferred Grade Level for the Included 3R’s Curriculum: (Select ONLY One!) _____ Elementary School _____ Middle School _____ High School

Selection Price CONFERENCE FEES

$265 EARLY BIRD (By May 7th) Full Conference MSSWA Member

(Includes up to 17 CEU’s)

$325 EARLY BIRD (By May 7th) Full Conference Non-Member

(Includes MSSWA Membership, & up to 17 CEU’s)

$290 Full Conference MSSWA Member

(Includes up to 17 CEU’s)

$355 Full Conference Non-Member

(Includes MSSWA Membership, & up to17 CEU’s)

$225 Full Conference Student/ MSSWA Board Rate

(must attach copy of school ID to registration) (Includes MSSWA Membership, & up to 17 CEU’s)

$330 Related Service Professionals (Includes up to 17 CEU’s - Does NOT include MSSWA Membership)

$125 One Day Rate, Monday, MSSWA Member (Includes 7.5 CEU’s)

$140 One Day Rate, Monday, Non-Member (Includes 7.5 CEU’s)

$125 One Day Rate, Tuesday, MSSWA Member

(Includes 6 CEU’s)

$160 One Day Rate, Tuesday, Non-Member

(Includes 6 CEU’s)

$60 One Day Rate, Wednesday, MSSWA Member (Includes 3.5 CEU’s)

$70 One Day Rate, Wednesday, Non-Member (Includes 3.5 CEU’s)

$15 each Additional Meal Tickets for family members:______# Breakfast ______# Lunch

$35 LATE FEE - Assessed for ANY outstanding balance after June 10th

(No curriculum)

$______ TOTAL AMOUNT ENCLOSED **(Early bird pricing not accepted unless payment is included with registration)**

Cancellation Policy: Conference registration fees minus a $60 administration fee per registration will be refunded if cancellation is made in writing to mplstonyjoel@gmail.com by June 10, 2018, but registration can be transferred to another attendee at no cost. No refunds issued after June 10, 2018

Yoga by the Lake FREE FOR ALL! Please indicate if you would like to participate in the Lakeside Yoga class, Tuesday, Jun 19th from 4:00pm-5:00pm.

_____ Yes

# Participating: ______

Group Discount Available!

Register 5 and get 6th Free (Full Conference Only)! Once 5 are registered and paid for, contact Tony Porter at mplstonyjoel@gmail.com to register your 6th for FREE!