Developmental Interventions
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1 Friday, May 1, 2015 Developmental Interventions for Autism: NON-PROFIT ORGANIZATION U.S. POSTAGE PAID MOLLOY COLLEGE Conference Registration Form On-line registration is available on our website at: or you may send this registration form with your check or your credit card information or your purchase order payment to: Molloy College, Division of Continuing Education, PO Box 5002., Rockville Centre, NY You may also phone in your registration by calling or fax in your registration by calling with your Visa or MasterCard information or purchase order information. A confirmation, with directions to the campus, will be sent upon receipt of your registration. Registration Periods/Dates Fee Early Reg. by 3/13/15 $40 Regular Reg. 3/14-4/17 $50 Late Reg. 4/18-4/30 $60 At the door $70 Molloy Students, Faculty & Staff No charge Non-Molloy Students $15 Molloy Alumni 10% discount Evidence-Based Research (Special Focus on Music Therapy) The conference is sponsored by the Interdisciplinary Council for Development & Learning ( Name Organization Work Phone City State Zip Home Phone Cell Phone Payment Method q Enclosed is my check or money order made payable to Molloy College q Enclosed is a purchase order q Please charge the Conference fee to my credit card: q Visa q MC # Exp. Date V Code (3 digit code on back of card) Name on the card Signature Division of Continuing Education and Professional Development 1000 Hempstead Avenue, PO Box 5002 Rockville Centre, NY Home Address A One-Day Conference for Music Therapists and Other Health Care Professionals such as: Psychologists, Teachers, Occupational Therapists, Physical Therapists, Speech and Language Pathologists, Counselors, Creative Arts Therapists Friday, May 1, 2015; 8:30 a.m.-4:30 p.m. Hays Theatre, Wilbur Arts Center, Rockville Centre campus
2 Continuing Education Credit Music Therapy: CMTE Molloy College is approved by the Certification Board for Music Therapists (CBMT) for 7 Continuing Music Therapy Education (CMTE) credits. Credits awarded by CBMT are accepted by the National Board for Certified Counselors (NBCC). Molloy College maintains responsibility for program quality and adherence to CBMT policies and criteria. Molloy College, CBMT pre-approved provider #P-102. About the Rebecca Center The Rebecca Center for Music Therapy at Molloy College provides individualized music therapy programming for children and adolescents with Neurodevelopmental challenges. Consistent with the DIRFloortime Model, The Rebecca Center facilitates social-emotional development through interactive musical-play. Conference Purpose and Audience The Rebecca Center for Music Therapy at Molloy College will be hosting a one-day conference, Developmental Interventions for Autism: Evidence-Based Research (Special Focus on Music Therapy) on Friday, May 1, 2015; 8:30 a.m.-4:00 p.m. This unique research conference will be co-sponsored by the Interdisciplinary Council for Development & Learning ( The purpose of the conference is to highlight developmental interventions and their place in the world of evidence-based research. This 1-day conference will feature a series of research presentations from the professions of music therapy, speech & language pathology, neurology, education, and psychology. The focus of each presentation will center on evidenced-based research pertaining to developmental relationship-based interventions. Agenda The keynote speaker will be: Devin Casenhiser, Ph.D., Assistant 10:40-11:10 a.m. Developmental Interventions for ASD: Evidenced-based? (Diana Abourafeh, John Carpente, Ph.D., Jon Fessenden, Stella Manne, Ph.D., & Naoko Mizutani, MT-BC, CCLS) Professor, Department of Audiology and Speech Pathology, University of Tennessee. Dr. Casenhiser s research explores functional (i.e., communicative) and cognitive factors that affect language learning in neurotypical and autistic populations. He has published research investigating the effects of homonymy on lexical acquisition, how the distribution of lexical input affects children s ability to learn grammatical constructions, and together with colleagues in Canada, Dr. Casenhiser has developed and tested a social-interaction based intervention designed to improve the social-communication abilities of children diagnose with autism spectrum disorders. LEARNING OBJECTIVES 1. Increase knowledge of the literature regarding ASD evidence-based research/ interventions 2. Increase knowledge pertaining to collaborative research with ASD 3. Increase knowledge of evidenced-based music therapy research/interventions with regard to developmental interventions for ASD 4. Increase knowledge of the various levels research measures pertaining to ASD Session descriptions and speaker bios can be found online at: 8:30-9:00 a.m. Registration/fast (Provided by Molloy College) 9:00-9:10 a.m. Welcome John A. Carpente, Ph.D., MT-BC, LCAT Valerie Collins, Ph.D., Vice President for Academic Affairs & Dean of the Faculty Jeff Guenzel, CEO, Interdisciplinary Council of Developmental Learning (ICDL) 9:10-10:40 a.m. Keynote Presentation: Tripping Over the Roots: Pitfalls of Autism Interventions and How to Avoid Them (Devin Casenhiser, Ph.D.) 11:10-11:20 a.m. 11:20-11:35 a.m. Defining Improvisational Music Therapy: Development of a Treatment Guide for Children with Autism Spectrum Disorder (Monika Geretsegger) (Video Presentation) 11:35-12:05 p.m. Following the Child s Lead: Why do it and What does the Research Say? (John Carpente, Ph.D.) 12:05-12:20 p.m. The Effects of Improvisational Music Therapy on Joint Attention Behaviors with Autistic Children: A Randomized Control Study (Jinah Kim, Ph.D.) 12:20-1:20 p.m. Lunch (Provided by Molloy College) 1:20-1:35 p.m. Effects of Relational Music Therapy on Communication of Children with Autism: A Randomized Controlled Study (Gustavo Gattino, Ph.D.) (Video Presentation) 1:35-1:50 p.m. Family-Centered Music Therapy to Promote Social Engagement in Young Children with Severe Autism Spectrum Disorder: A Randomized Controlled Study (Grace Thompson, Ph.D.) (Video Presentation) 1:50-2:20 p.m. The Use of Developmentally Appropriate Teaching Strategies to Mediate and Facilitate the Learning Experiences of an Elementary Student with Autism Spectrum Disorder (Audra Cerruto, Ph.D., and Krista Sullivan, MS) 2:20-2:30 p.m. 2:30-2:45 p.m. Introducing the TIME-A Study (John Carpente, Ph.D., & Stella Manne, Ph.D.) 2:45-3:00 p.m. Randomized Controlled Trial of Improvisational Music Therapy s Effectiveness For Children With Autism Spectrum Disorders (TIME-A) (Christian Gold, Ph.D.) 3:00-3:30 p.m. Parental Perceptions of Social Reciprocity and Parenting Stress in Parents of Children with ASD (Laura Kestemberg, Ph.D. & Laura De Gennaro, MS) 3:30-4:00 p.m. Neurophysiological Processing in Children with Autism Spectrum Disorders (Hia Datta, Ph.D.) 4:00-4:15 p.m. Wrap-up and overview 4:15-4:30 p.m. Post course evaluation & distribution of Certificates Speaker Discloser The speakers have disclosed that they have no financial or non-financial relationships to disclose. Speech-Language Pathology: ASHA CEUs The program is offered for.6 ASHA CEUs. Intermediate level; Professional Area). Approval is pending. A certificate of completion will be issued at the conclusion of the program. Occupational Therapy: AOTA.55 continuing education credit for Occupational Therapist through the American Occupational Therapy Association (AOTA) will be provided for the conference by the Interdisciplinary Council for Development & Learning (ICDL). ICDL is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Registration Online registration is available at: Phone-in registration is available by calling with your MasterCard or Visa. To register in person, by fax or mail, please follow the directions on the registration form located on the inside back cover of this brochure. Tuition Rates: Early Registration by March 13: $40 Regular Registration, March 14 - April 17: $50 Late Registration, April 18-April 30: $60 At the door: $70 Molloy Students, Faculty and Staff (provide copy of student ID, must register by April 17): No Charge Non-Molloy Students (provide copy of student ID, must register by April 17): $15 Molloy Alumni: 10% discount Registration is limited. In-person registration the day of the conference is on a space available basis and cannot be guaranteed. Refund Policy: A full refund will be granted as long as you contact us by April 17. Refunds will not be granted after April 17: however, substitutions can be made until the day of the conference at no charge. Location The conference will be given in the Hays Theatre in the Wilbur Arts Building on Molloy s Rockville Centre campus located at 1000 Hempstead Ave, Rockville Centre, NY, Travel directions will be sent with your confirmation, but can also be found on our website at: If you should need hotel arrangements, please call Questions regarding conference content or speakers? Contact John A. Carpente, Ph.D., MT-BC, LCAT, NRMT - Conference Chair jcarpente@molloy.edu; Phone: Questions regarding registration? Contact Cindy Thomas Assistant to the Director, Summer Sessions and Conference Services cthomas@molloy.edu; Phone: Conference webpage:
3 Continuing Education Credit Music Therapy: CMTE Molloy College is approved by the Certification Board for Music Therapists (CBMT) for 7 Continuing Music Therapy Education (CMTE) credits. Credits awarded by CBMT are accepted by the National Board for Certified Counselors (NBCC). Molloy College maintains responsibility for program quality and adherence to CBMT policies and criteria. Molloy College, CBMT pre-approved provider #P-102. About the Rebecca Center The Rebecca Center for Music Therapy at Molloy College provides individualized music therapy programming for children and adolescents with Neurodevelopmental challenges. Consistent with the DIRFloortime Model, The Rebecca Center facilitates social-emotional development through interactive musical-play. Conference Purpose and Audience The Rebecca Center for Music Therapy at Molloy College will be hosting a one-day conference, Developmental Interventions for Autism: Evidence-Based Research (Special Focus on Music Therapy) on Friday, May 1, 2015; 8:30 a.m.-4:00 p.m. This unique research conference will be co-sponsored by the Interdisciplinary Council for Development & Learning ( The purpose of the conference is to highlight developmental interventions and their place in the world of evidence-based research. This 1-day conference will feature a series of research presentations from the professions of music therapy, speech & language pathology, neurology, education, and psychology. The focus of each presentation will center on evidenced-based research pertaining to developmental relationship-based interventions. Agenda The keynote speaker will be: Devin Casenhiser, Ph.D., Assistant 10:40-11:10 a.m. Developmental Interventions for ASD: Evidenced-based? (Diana Abourafeh, John Carpente, Ph.D., Jon Fessenden, Stella Manne, Ph.D., & Naoko Mizutani, MT-BC, CCLS) Professor, Department of Audiology and Speech Pathology, University of Tennessee. Dr. Casenhiser s research explores functional (i.e., communicative) and cognitive factors that affect language learning in neurotypical and autistic populations. He has published research investigating the effects of homonymy on lexical acquisition, how the distribution of lexical input affects children s ability to learn grammatical constructions, and together with colleagues in Canada, Dr. Casenhiser has developed and tested a social-interaction based intervention designed to improve the social-communication abilities of children diagnose with autism spectrum disorders. LEARNING OBJECTIVES 1. Increase knowledge of the literature regarding ASD evidence-based research/ interventions 2. Increase knowledge pertaining to collaborative research with ASD 3. Increase knowledge of evidenced-based music therapy research/interventions with regard to developmental interventions for ASD 4. Increase knowledge of the various levels research measures pertaining to ASD Session descriptions and speaker bios can be found online at: 8:30-9:00 a.m. Registration/fast (Provided by Molloy College) 9:00-9:10 a.m. Welcome John A. Carpente, Ph.D., MT-BC, LCAT Valerie Collins, Ph.D., Vice President for Academic Affairs & Dean of the Faculty Jeff Guenzel, CEO, Interdisciplinary Council of Developmental Learning (ICDL) 9:10-10:40 a.m. Keynote Presentation: Tripping Over the Roots: Pitfalls of Autism Interventions and How to Avoid Them (Devin Casenhiser, Ph.D.) 11:10-11:20 a.m. 11:20-11:35 a.m. Defining Improvisational Music Therapy: Development of a Treatment Guide for Children with Autism Spectrum Disorder (Monika Geretsegger) (Video Presentation) 11:35-12:05 p.m. Following the Child s Lead: Why do it and What does the Research Say? (John Carpente, Ph.D.) 12:05-12:20 p.m. The Effects of Improvisational Music Therapy on Joint Attention Behaviors with Autistic Children: A Randomized Control Study (Jinah Kim, Ph.D.) 12:20-1:20 p.m. Lunch (Provided by Molloy College) 1:20-1:35 p.m. Effects of Relational Music Therapy on Communication of Children with Autism: A Randomized Controlled Study (Gustavo Gattino, Ph.D.) (Video Presentation) 1:35-1:50 p.m. Family-Centered Music Therapy to Promote Social Engagement in Young Children with Severe Autism Spectrum Disorder: A Randomized Controlled Study (Grace Thompson, Ph.D.) (Video Presentation) 1:50-2:20 p.m. The Use of Developmentally Appropriate Teaching Strategies to Mediate and Facilitate the Learning Experiences of an Elementary Student with Autism Spectrum Disorder (Audra Cerruto, Ph.D., and Krista Sullivan, MS) 2:20-2:30 p.m. 2:30-2:45 p.m. Introducing the TIME-A Study (John Carpente, Ph.D., & Stella Manne, Ph.D.) 2:45-3:00 p.m. Randomized Controlled Trial of Improvisational Music Therapy s Effectiveness For Children With Autism Spectrum Disorders (TIME-A) (Christian Gold, Ph.D.) 3:00-3:30 p.m. Parental Perceptions of Social Reciprocity and Parenting Stress in Parents of Children with ASD (Laura Kestemberg, Ph.D. & Laura De Gennaro, MS) 3:30-4:00 p.m. Neurophysiological Processing in Children with Autism Spectrum Disorders (Hia Datta, Ph.D.) 4:00-4:15 p.m. Wrap-up and overview 4:15-4:30 p.m. Post course evaluation & distribution of Certificates Speaker Discloser The speakers have disclosed that they have no financial or non-financial relationships to disclose. Speech-Language Pathology: ASHA CEUs The program is offered for.6 ASHA CEUs. Intermediate level; Professional Area). Approval is pending. A certificate of completion will be issued at the conclusion of the program. Occupational Therapy: AOTA.55 continuing education credit for Occupational Therapist through the American Occupational Therapy Association (AOTA) will be provided for the conference by the Interdisciplinary Council for Development & Learning (ICDL). ICDL is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Registration Online registration is available at: Phone-in registration is available by calling with your MasterCard or Visa. To register in person, by fax or mail, please follow the directions on the registration form located on the inside back cover of this brochure. Tuition Rates: Early Registration by March 13: $40 Regular Registration, March 14 - April 17: $50 Late Registration, April 18-April 30: $60 At the door: $70 Molloy Students, Faculty and Staff (provide copy of student ID, must register by April 17): No Charge Non-Molloy Students (provide copy of student ID, must register by April 17): $15 Molloy Alumni: 10% discount Registration is limited. In-person registration the day of the conference is on a space available basis and cannot be guaranteed. Refund Policy: A full refund will be granted as long as you contact us by April 17. Refunds will not be granted after April 17: however, substitutions can be made until the day of the conference at no charge. Location The conference will be given in the Hays Theatre in the Wilbur Arts Building on Molloy s Rockville Centre campus located at 1000 Hempstead Ave, Rockville Centre, NY, Travel directions will be sent with your confirmation, but can also be found on our website at: If you should need hotel arrangements, please call Questions regarding conference content or speakers? Contact John A. Carpente, Ph.D., MT-BC, LCAT, NRMT - Conference Chair jcarpente@molloy.edu; Phone: Questions regarding registration? Contact Cindy Thomas Assistant to the Director, Summer Sessions and Conference Services cthomas@molloy.edu; Phone: Conference webpage:
4 Continuing Education Credit Music Therapy: CMTE Molloy College is approved by the Certification Board for Music Therapists (CBMT) for 7 Continuing Music Therapy Education (CMTE) credits. Credits awarded by CBMT are accepted by the National Board for Certified Counselors (NBCC). Molloy College maintains responsibility for program quality and adherence to CBMT policies and criteria. Molloy College, CBMT pre-approved provider #P-102. About the Rebecca Center The Rebecca Center for Music Therapy at Molloy College provides individualized music therapy programming for children and adolescents with Neurodevelopmental challenges. Consistent with the DIRFloortime Model, The Rebecca Center facilitates social-emotional development through interactive musical-play. Conference Purpose and Audience The Rebecca Center for Music Therapy at Molloy College will be hosting a one-day conference, Developmental Interventions for Autism: Evidence-Based Research (Special Focus on Music Therapy) on Friday, May 1, 2015; 8:30 a.m.-4:00 p.m. This unique research conference will be co-sponsored by the Interdisciplinary Council for Development & Learning ( The purpose of the conference is to highlight developmental interventions and their place in the world of evidence-based research. This 1-day conference will feature a series of research presentations from the professions of music therapy, speech & language pathology, neurology, education, and psychology. The focus of each presentation will center on evidenced-based research pertaining to developmental relationship-based interventions. Agenda The keynote speaker will be: Devin Casenhiser, Ph.D., Assistant 10:40-11:10 a.m. Developmental Interventions for ASD: Evidenced-based? (Diana Abourafeh, John Carpente, Ph.D., Jon Fessenden, Stella Manne, Ph.D., & Naoko Mizutani, MT-BC, CCLS) Professor, Department of Audiology and Speech Pathology, University of Tennessee. Dr. Casenhiser s research explores functional (i.e., communicative) and cognitive factors that affect language learning in neurotypical and autistic populations. He has published research investigating the effects of homonymy on lexical acquisition, how the distribution of lexical input affects children s ability to learn grammatical constructions, and together with colleagues in Canada, Dr. Casenhiser has developed and tested a social-interaction based intervention designed to improve the social-communication abilities of children diagnose with autism spectrum disorders. LEARNING OBJECTIVES 1. Increase knowledge of the literature regarding ASD evidence-based research/ interventions 2. Increase knowledge pertaining to collaborative research with ASD 3. Increase knowledge of evidenced-based music therapy research/interventions with regard to developmental interventions for ASD 4. Increase knowledge of the various levels research measures pertaining to ASD Session descriptions and speaker bios can be found online at: 8:30-9:00 a.m. Registration/fast (Provided by Molloy College) 9:00-9:10 a.m. Welcome John A. Carpente, Ph.D., MT-BC, LCAT Valerie Collins, Ph.D., Vice President for Academic Affairs & Dean of the Faculty Jeff Guenzel, CEO, Interdisciplinary Council of Developmental Learning (ICDL) 9:10-10:40 a.m. Keynote Presentation: Tripping Over the Roots: Pitfalls of Autism Interventions and How to Avoid Them (Devin Casenhiser, Ph.D.) 11:10-11:20 a.m. 11:20-11:35 a.m. Defining Improvisational Music Therapy: Development of a Treatment Guide for Children with Autism Spectrum Disorder (Monika Geretsegger) (Video Presentation) 11:35-12:05 p.m. Following the Child s Lead: Why do it and What does the Research Say? (John Carpente, Ph.D.) 12:05-12:20 p.m. The Effects of Improvisational Music Therapy on Joint Attention Behaviors with Autistic Children: A Randomized Control Study (Jinah Kim, Ph.D.) 12:20-1:20 p.m. Lunch (Provided by Molloy College) 1:20-1:35 p.m. Effects of Relational Music Therapy on Communication of Children with Autism: A Randomized Controlled Study (Gustavo Gattino, Ph.D.) (Video Presentation) 1:35-1:50 p.m. Family-Centered Music Therapy to Promote Social Engagement in Young Children with Severe Autism Spectrum Disorder: A Randomized Controlled Study (Grace Thompson, Ph.D.) (Video Presentation) 1:50-2:20 p.m. The Use of Developmentally Appropriate Teaching Strategies to Mediate and Facilitate the Learning Experiences of an Elementary Student with Autism Spectrum Disorder (Audra Cerruto, Ph.D., and Krista Sullivan, MS) 2:20-2:30 p.m. 2:30-2:45 p.m. Introducing the TIME-A Study (John Carpente, Ph.D., & Stella Manne, Ph.D.) 2:45-3:00 p.m. Randomized Controlled Trial of Improvisational Music Therapy s Effectiveness For Children With Autism Spectrum Disorders (TIME-A) (Christian Gold, Ph.D.) 3:00-3:30 p.m. Parental Perceptions of Social Reciprocity and Parenting Stress in Parents of Children with ASD (Laura Kestemberg, Ph.D. & Laura De Gennaro, MS) 3:30-4:00 p.m. Neurophysiological Processing in Children with Autism Spectrum Disorders (Hia Datta, Ph.D.) 4:00-4:15 p.m. Wrap-up and overview 4:15-4:30 p.m. Post course evaluation & distribution of Certificates Speaker Discloser The speakers have disclosed that they have no financial or non-financial relationships to disclose. Speech-Language Pathology: ASHA CEUs The program is offered for.6 ASHA CEUs. Intermediate level; Professional Area). Approval is pending. A certificate of completion will be issued at the conclusion of the program. Occupational Therapy: AOTA.55 continuing education credit for Occupational Therapist through the American Occupational Therapy Association (AOTA) will be provided for the conference by the Interdisciplinary Council for Development & Learning (ICDL). ICDL is an AOTA Approved Provider of continuing education. AOTA does not endorse specific course content, products, or clinical procedures. Registration Online registration is available at: Phone-in registration is available by calling with your MasterCard or Visa. To register in person, by fax or mail, please follow the directions on the registration form located on the inside back cover of this brochure. Tuition Rates: Early Registration by March 13: $40 Regular Registration, March 14 - April 17: $50 Late Registration, April 18-April 30: $60 At the door: $70 Molloy Students, Faculty and Staff (provide copy of student ID, must register by April 17): No Charge Non-Molloy Students (provide copy of student ID, must register by April 17): $15 Molloy Alumni: 10% discount Registration is limited. In-person registration the day of the conference is on a space available basis and cannot be guaranteed. Refund Policy: A full refund will be granted as long as you contact us by April 17. Refunds will not be granted after April 17: however, substitutions can be made until the day of the conference at no charge. Location The conference will be given in the Hays Theatre in the Wilbur Arts Building on Molloy s Rockville Centre campus located at 1000 Hempstead Ave, Rockville Centre, NY, Travel directions will be sent with your confirmation, but can also be found on our website at: If you should need hotel arrangements, please call Questions regarding conference content or speakers? Contact John A. Carpente, Ph.D., MT-BC, LCAT, NRMT - Conference Chair jcarpente@molloy.edu; Phone: Questions regarding registration? Contact Cindy Thomas Assistant to the Director, Summer Sessions and Conference Services cthomas@molloy.edu; Phone: Conference webpage:
5 Friday, May 1, 2015 Developmental Interventions for Autism: NON-PROFIT ORGANIZATION U.S. POSTAGE PAID MOLLOY COLLEGE Conference Registration Form On-line registration is available on our website at: or you may send this registration form with your check or your credit card information or your purchase order payment to: Molloy College, Division of Continuing Education, PO Box 5002., Rockville Centre, NY You may also phone in your registration by calling or fax in your registration by calling with your Visa or MasterCard information or purchase order information. A confirmation, with directions to the campus, will be sent upon receipt of your registration. Registration Periods/Dates Fee Early Reg. by 3/13/15 $40 Regular Reg. 3/14-4/17 $50 Late Reg. 4/18-4/30 $60 At the door $70 Molloy Students, Faculty & Staff No charge Non-Molloy Students $15 Molloy Alumni 10% discount Evidence-Based Research (Special Focus on Music Therapy) The conference is sponsored by the Interdisciplinary Council for Development & Learning ( Name Organization Work Phone City State Zip Home Phone Cell Phone Payment Method q Enclosed is my check or money order made payable to Molloy College q Enclosed is a purchase order q Please charge the Conference fee to my credit card: q Visa q MC # Exp. Date V Code (3 digit code on back of card) Name on the card Signature Division of Continuing Education and Professional Development 1000 Hempstead Avenue, PO Box 5002 Rockville Centre, NY Home Address A One-Day Conference for Music Therapists and Other Health Care Professionals such as: Psychologists, Teachers, Occupational Therapists, Physical Therapists, Speech and Language Pathologists, Counselors, Creative Arts Therapists Friday, May 1, 2015; 8:30 a.m.-4:30 p.m. Hays Theatre, Wilbur Arts Center, Rockville Centre campus
6 Friday, May 1, 2015 Developmental Interventions for Autism: NON-PROFIT ORGANIZATION U.S. POSTAGE PAID MOLLOY COLLEGE Conference Registration Form On-line registration is available on our website at: or you may send this registration form with your check or your credit card information or your purchase order payment to: Molloy College, Division of Continuing Education, PO Box 5002., Rockville Centre, NY You may also phone in your registration by calling or fax in your registration by calling with your Visa or MasterCard information or purchase order information. A confirmation, with directions to the campus, will be sent upon receipt of your registration. Registration Periods/Dates Fee Early Reg. by 3/13/15 $40 Regular Reg. 3/14-4/17 $50 Late Reg. 4/18-4/30 $60 At the door $70 Molloy Students, Faculty & Staff No charge Non-Molloy Students $15 Molloy Alumni 10% discount Evidence-Based Research (Special Focus on Music Therapy) The conference is sponsored by the Interdisciplinary Council for Development & Learning ( Name Organization Work Phone City State Zip Home Phone Cell Phone Payment Method q Enclosed is my check or money order made payable to Molloy College q Enclosed is a purchase order q Please charge the Conference fee to my credit card: q Visa q MC # Exp. Date V Code (3 digit code on back of card) Name on the card Signature Division of Continuing Education and Professional Development 1000 Hempstead Avenue, PO Box 5002 Rockville Centre, NY Home Address A One-Day Conference for Music Therapists and Other Health Care Professionals such as: Psychologists, Teachers, Occupational Therapists, Physical Therapists, Speech and Language Pathologists, Counselors, Creative Arts Therapists Friday, May 1, 2015; 8:30 a.m.-4:30 p.m. Hays Theatre, Wilbur Arts Center, Rockville Centre campus
Conference Registration Form
Friday, October 30, 2015 On-line registration is available on our website at: www.molloy.edu/ce/musictherapy or you may send this registration form with your check or your credit card information or your
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