1.Contact information (make sure to enter your email correctly)

Name

Email Address

2.Current degree/license status:

I am a licensed psychologist who utilizes the Rorschach.

I am an intern, postdoc, or not yet licensed psychologist who utilizes the Rorschach

I am a graduate student

I am a non-psychologist mental health provider

Other (please specify)

3.Please check one of the following:

I am a paid CAABA member- COST IS $50
Pay here: https://app.autobooks.co/pay/collaborative-assessment-association-of-the-bay-area
Please make sure to submit this survey response to record your registration!

I am a CURRENT Wright Institute faculty member- COST IS $50
Pay here: https://app.autobooks.co/pay/collaborative-assessment-association-of-the-bay-area
Please make sure to submit this survey response to record your registration!

I am not affiliated with CAABA or the Wright- COST IS $100
Pay here: https://app.autobooks.co/pay/collaborative-assessment-association-of-the-bay-area

**To become a CAABA member (annual fees: $35 psychologists) use https://app.autobooks.co/pay/collaborative-assessment-association-of-the-bay-area
Please make sure to submit this survey response to record your registration!

4.PLEASE NOTE:

• THIS IS AN IN-PERSON ONLY WORKSHOP
• THIS EVENT PRIORITIZES LICENSED PSYCHOLOGISTS AND HAS LIMITED SLOTS, THEREFORE, YOU MAY BE PLACED ON A WAITLIST.
• IF WE CANNOT OFFER YOU A SPOT, CAABA WILL REFUND YOUR PAYMENT.
• IF YOU CANNOT ATTEND THIS EVENT, PLEASE CANCEL BY 5/31 TO GET A REFUND!

I understand the information above