3rd Annual Rensselaer County SART Conference
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Registration page for the 3rd annual Rensselaer County SART Conference

Please complete the following information to register for the 3rd annual Rensselaer County SART Conference to be held on Thursday, March 28th, 2013 from 8am-4pm at Hudson Valley Community College. Your registration will not be finalized until your payment has been received ($40 due by Thursday, March 21st, 2013). Please make checks payable to "Sexual Assault and Crime Victims Assistance Program" and mail to:

Lindsey Crusan
Sexual Assault and Crime Victims Assistance Program
Samaritan Hospital
2215 Burdett Ave.
Troy, NY 12180.

Contact Lindsey Crusan at CrusanL@nehealth.com or (518) 271-3155 with questions or concerns.

1. Name:

Name:

2. Agency/Organization:

Agency/Organization:

3. Title:

Title:

4. Email:

Email:

5. Phone:

Phone:

6. Do you have any special dietary restrictions? If "yes" please indicate in the box below:

Do you have any special dietary restrictions? If "yes" please indicate in the box below: No

Yes

7. Workshop 1 - Please rate your workshop preferences for session 1:

	First choice	Second choice	Third choice	Fourth choice
Investigating Non-Stranger Sexual Assault	*Workshop 1 - Please rate your workshop preferences for session 1: Investigating Non-Stranger Sexual Assault First choice	Investigating Non-Stranger Sexual Assault Second choice	Investigating Non-Stranger Sexual Assault Third choice	Investigating Non-Stranger Sexual Assault Fourth choice
Mental Health and Survivors	Mental Health and Survivors First choice	Mental Health and Survivors Second choice	Mental Health and Survivors Third choice	Mental Health and Survivors Fourth choice
Ending Violence Against Women: Engaging Men as Allies	Ending Violence Against Women: Engaging Men as Allies First choice	Ending Violence Against Women: Engaging Men as Allies Second choice	Ending Violence Against Women: Engaging Men as Allies Third choice	Ending Violence Against Women: Engaging Men as Allies Fourth choice
Computer Crimes 2013	Computer Crimes 2013 First choice	Computer Crimes 2013 Second choice	Computer Crimes 2013 Third choice	Computer Crimes 2013 Fourth choice

8. Workshop 2 - Please rate your workshop preferences for session 2:

	First choice	Second choice	Third choice	Fourth choice
SAVIN-NY: Order of Protection Notification Program	*Workshop 2 - Please rate your workshop preferences for session 2: SAVIN-NY: Order of Protection Notification Program First choice	SAVIN-NY: Order of Protection Notification Program Second choice	SAVIN-NY: Order of Protection Notification Program Third choice	SAVIN-NY: Order of Protection Notification Program Fourth choice
Forensic DNA Analysis	Forensic DNA Analysis First choice	Forensic DNA Analysis Second choice	Forensic DNA Analysis Third choice	Forensic DNA Analysis Fourth choice
Sexual Assault on College Campuses (Advanced)	Sexual Assault on College Campuses (Advanced) First choice	Sexual Assault on College Campuses (Advanced) Second choice	Sexual Assault on College Campuses (Advanced) Third choice	Sexual Assault on College Campuses (Advanced) Fourth choice
Healing From Drama and Trauma	Healing From Drama and Trauma First choice	Healing From Drama and Trauma Second choice	Healing From Drama and Trauma Third choice	Healing From Drama and Trauma Fourth choice

9. Workshop 3 - Please rate your workshop preferences for session 3:

	First choice	Second choice	Third choice	Fourth choice
Emerging Drugs of Abuse	*Workshop 3 - Please rate your workshop preferences for session 3: Emerging Drugs of Abuse First choice	Emerging Drugs of Abuse Second choice	Emerging Drugs of Abuse Third choice	Emerging Drugs of Abuse Fourth choice
Primary Prevention of Sexual Assault	Primary Prevention of Sexual Assault First choice	Primary Prevention of Sexual Assault Second choice	Primary Prevention of Sexual Assault Third choice	Primary Prevention of Sexual Assault Fourth choice
OMG! I JUST GOT A SUBPOENA!	OMG! I JUST GOT A SUBPOENA! First choice	OMG! I JUST GOT A SUBPOENA! Second choice	OMG! I JUST GOT A SUBPOENA! Third choice	OMG! I JUST GOT A SUBPOENA! Fourth choice
Can You Re-Train Your Brain?	Can You Re-Train Your Brain? First choice	Can You Re-Train Your Brain? Second choice	Can You Re-Train Your Brain? Third choice	Can You Re-Train Your Brain? Fourth choice

10. Workshop 4 - Please rate your workshop preferences for session 4:

	First choice	Second choice	Third choice	Fourth choice
Human Trafficking in New York State	*Workshop 4 - Please rate your workshop preferences for session 4: Human Trafficking in New York State First choice	Human Trafficking in New York State Second choice	Human Trafficking in New York State Third choice	Human Trafficking in New York State Fourth choice
Strangulation in the Context of Intimate Partner Violence	Strangulation in the Context of Intimate Partner Violence First choice	Strangulation in the Context of Intimate Partner Violence Second choice	Strangulation in the Context of Intimate Partner Violence Third choice	Strangulation in the Context of Intimate Partner Violence Fourth choice
Working with LGBT Survivors	Working with LGBT Survivors First choice	Working with LGBT Survivors Second choice	Working with LGBT Survivors Third choice	Working with LGBT Survivors Fourth choice
Reconnecting: Yoga for Trauma Survivors	Reconnecting: Yoga for Trauma Survivors First choice	Reconnecting: Yoga for Trauma Survivors Second choice	Reconnecting: Yoga for Trauma Survivors Third choice	Reconnecting: Yoga for Trauma Survivors Fourth choice

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3rd Annual Rensselaer County SART ConferenceExit this survey

Registration page for the 3rd annual Rensselaer County SART Conference

3rd Annual Rensselaer County SART Conference
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