May 31, 2019 Workshop Registration and Interest Survey

Life Story Board Workshop registration

Registration is first come, first served, up to a maximum of 10 participants.

Please indicate below if you are interested in future events and training opportunities.

Friday May 31, 2019 9:00 AM - 4:00 PM

9:00 -12:00 presentation, orientation, demonstration

12-1:00 lunch break

1:00-4:00 Q and A, and hands on, experiential, small group practice with discussion

Workshop Location:

Meeting Room 107 1st floor Union Centre

275 Broadway, Winnipeg

the NE corner of Smith St (one way North) and Broadway.

Hosted by MFL Occupational Health Centre (Suite 102) tel: 204-949-0811

Coffee, tea will be provided.

The OHC has a kitchenette, you're welcome to bring your own lunch.

Good restaurants are nearby.

Winnipeg Transit: Union Station (3 short blocks away)

suggested car parking: the lot across Smith St on the left side is $15 for the day.

To register for the Workshop please complete below.

You will receive an 'Freshbooks' invoice by email for process of payment (credit card/ PayPal / cheque).

If you purchase a LSB kit, there are a few options for kit organization to sort out individually (discuss with Rob).

Any questions or want more information? ...please contact
Rob Chase (tel 204-232-4870)
rob.chase@vidaview.ca

Question Title

* 1. Are you interested in Life Story Board?, ...in what way?

in clinical applications- for assessment, counselling, psychotherapy

in social science research as an interview tool

in arts-based approaches and contexts

in community, cultural settings

in some other way....

not sure yet... I'm exploring

Please describe briefly

Question Title

* 2. Do you want to register for the May 31 2019 workshop?

Yes

Yes, but if registration is full, I'd like to know about other opportunities

comment:

Question Title

* 3. To register, or to provide contact information for more information please fill in (email required)

Name *

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number

Question Title

* 4. For those registering for the workshop, or purchasing items how do you want to be billed for?
A 'Freshbooks' invoice from will be generated and emailed.
Payments can be online PayPal / credit card, or by cheque payable to "Vidaview Info Systems" at the Workshop

May 31 Workshop full price $175

purchase Life Story Board kit $245 +PST/GST (30% discount)

other

May 31 Workshop student rate $85

if requesting student rate, please explain:

Question Title

* 5. If you are interested in more information or a consult about Life Story Board methods please choose among these options" ...Otherwise skip this and close survey.

I cannot attend but I am interested in future training workshops

I cannot attend but I am interested in one-on-one training (live or via web video)

I would like to consult and explore LSB in a particular setting

I am interested in clinical supervision for continuing education

please comment, give details

May 31, 2019 Workshop Registration and Interest Survey

Life Story Board Workshop registration

Question Title

* 1. Are you interested in Life Story Board?, ...in what way?

Question Title

* 2. Do you want to register for the May 31 2019 workshop?

Question Title

* 3. To register, or to provide contact information for more information please fill in (email required)

Question Title

* 4. For those registering for the workshop, or purchasing items how do you want to be billed for? A 'Freshbooks' invoice from will be generated and emailed. Payments can be online PayPal / credit card, or by cheque payable to "Vidaview Info Systems" at the Workshop

Question Title

* 5. If you are interested in more information or a consult about Life Story Board methods please choose among these options" ...Otherwise skip this and close survey.

* 4. For those registering for the workshop, or purchasing items how do you want to be billed for?
A 'Freshbooks' invoice from will be generated and emailed.
Payments can be online PayPal / credit card, or by cheque payable to "Vidaview Info Systems" at the Workshop