Registration Form: Friday, February 1, 2013
NCRTM Webcast from Southern University, Baton Rouge, LA:
EFFECTS OF HEALTH PROMOTION ON VOCATIONAL REHABILITATION OF PERSONS WITH DISABILITIES: ETHICAL CONSIDERATIONS

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1. Name (Required.)

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2. Position or Job Title (Required.)

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3. Address (Required.)

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4. City, State, and Zip Code (Required.)

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5. Phone Number: Office (Required.)

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6. Fax Number: Office (Required.)

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7. E-mail Address (Required.)

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8. Do you need CRC credits? (Required.)

Yes (Registration Fee of $50 paid by check or money order to Sigma Upsilon Chi Chapter of Chi Sigma Iota Honor Society)

No (Free)

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9. For further information, please contact:
Dr. Alo Dutta, Associate Professor
Department of Rehabilitation and Disability Studies
Southern University, 233 Blanks Hall
Baton Rouge, LA 70813
Phone: 225-771-2335
Fax: 225-771-2293
E-mail: alodutta1992@aol.com