1. EARN 1.5 FREE CEUs at the
SENIOR RESOURCE FAIR
for SOCIAL WORKERS, CASE MANAGERS,
& DISCHARGE PLANNERS
Wednesday, May 15, 2013
Slidell Memorial Hospital
Founder’s Building
1150 Robert Blvd, Slidell
5:00pm - 7:00pm
REGISTRATION FORM FOR SOCIAL WORKERS, CASE MANAGERS & DISCHARGE PLANNERS
First Name: Last Name:
Company Name: Position:
Address:
City: State: Zip:
Business Phone: Personal Phone:
Email Address (required):
Will you be able to attend the event? Yes No
NASW Member? Yes No
Please fill in the form above, save to your computer and email as an attachment
to Serra Wobbema at serra.wobbema@hotmail.com by Tuesday, May 14, 2013.