Kaleidoscope of Counseling Conference Registration Form

CSI 11th Annual Kaleidoscope of Counseling Conference

Friday April 9, 2021 & Saturday April 10, 2021
Virtual Format
Hosted by the Sigma Tau Sigma Chapter of Chi Sigma Iota at Texas State University
Early-Bird Registration ends Feb 01, 2021
Send conference questions to Sigma Tau Sigma.

First Name: *

Last Name: *

Professional Credentials, if applicable

Email Address: *

Phone number *

Please indicate your registration category (early-bird rates shown below): *

TX State CSI Student Member - $5

Professional Counseling Student (non TX State CSI member) - $10

CSI Professional Member - $20

Professional (non TX State CSI member) - $30

Have you served as a Texas State Internship Site Supervisor in the last 2 years? *

Yes

Do you have a presentation proposal submitted for consideration? *

Yes

If you are a student, please indicate your school (if you are a professional, write N/A) *

If you are a student, please indicate your school email (if you are a professional, write N/A) *

Click to acknowledge **REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS SUBMITTED.** *

I understand and agree to submit payment to complete registration.

If you happen to see this, do not fill this field.