Registration

**You can either print this page or print a Microsoft Word version of the registration form from the following link.**


Positive Psychology and Health: Building the Best Things in Life

Rush-Presbyterian-St. Luke's Medical Center
Chicago, Illinois

August 21, 2002

Please print or type:

Name ____________________________________________
(as you would like it to appear on your badge)

Institutional Affiliation: ____________________________________________

Mailing Address: __________________________________________________
  __________________________________________________
  __________________________________________________

Work Telephone: _______________________ Home Telephone: _________________________

Email: _________________________________ (note: email will be used for communication)


Please indicate your preference for breakout sessions by checking one program for each session:

Breakout Session I

____ How to Grow Spiritually: A Positive Psychology Perspective
Carl Thoreson, Ph.D., Stanford University

____ Qualitative Methods in Positive Psychology Research
Kathleen Chwalisz, Ph.D., Southern Illinois University

Breakout Session II

____ Promoting Hope, Optimism, Well-Being: Programs that Work
Shane J. Lopez, Ph.D., University of Kansas

____ Critical Issues in Researching Quality of Life
Elizabeth Altmaier, Ph.D., University of Iowa


Please indicate any special assistance or accommodations you might need (e.g., due to disability):

 

 

 


Conference Fees (circle one):
Before August 1 August 1 to 10
Physician

$125.00

$150.00

Psychologists (CE Credits)

$ 75.00

$ 90.00

Professional or Resident (no CE)

$ 60.00

$ 75.00

Students

$ 30.00

$ 45.00

* Rush employees receive $10 discount from prices above
Fees include admission to all conference activities, breakfast, lunch and refreshment.
Make personal check, cashier's check, or money order out to Positive Psychology/Health Conference

Send form and check to:

Daniel L. Clay, Ph.D.
Rush Conference Registration
361 Lindquist Center
University of Iowa
Iowa City, IA 52242

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Sponsorship: