Pre-Registration Form

Four Day Workshops or Ongoing Skill Building Groups

You may e-mail your registration information to VISIONS by completing the form below and clicking on the REGISTER button. 

Submitting this form will temporarily hold your space until we receive payment. Unless you make special arrangements with us, via the Roxbury office, we must receive your check or money order at least one month in advance.

Step 1.  Workshop Selection:

Below, please select the appropriate Four-Day or Ongoing Skill Building workshop you wish to attend.

A Personal Approach to Multiculturalism:
Changing Racism and Other "Isms" Workshop

The Four-Day workshop fee is $1,050.00. Space is limited and we strongly urge early enrollment. Submission of a $525.00 deposit reserves a participant space and is due one month before the workshop. The remaining balance of $525.00 is due two weeks prior to the scheduled workshop. Requests for a group rate, payment plan, or a limited scholarship may be made by contacting the Boston / Roxbury office.

Oakland, CA

June 22-25, 2010

Boston, MA

July 20-23, 2010

New York, NY 

TBD

Raleigh, NC

Oct. 15, 16, 29, 30, 2010

Pasadena, CA

Jan. 18-21, 2011

Boston, MA

Apr. 12-15, 2011

Oakland, CA

June 21-24, 2011

Boston, MA

July 19-22, 2011

Ongoing Multicultural Skill-Building Groups: Peer Supervision

Prerequisite: Each Peer Supervision module requires previous participation in a VISIONS training, either "A Personal Approach to Multiculturalism: Changing Racism and other Isms" (most preferably having completed Part I and Part II) and/or participation in an ongoing consultation with VISIONS at your workplace or community group. The fee for the various Peer Supervision Workshops can be found next to the corresponding workshop start date.

Space is limited and early enrollment is recommended.  A $200.00 transferable, non-refundable deposit is required at time of registration and reserves a participant space in one of the Peer Supervision modules.  Final payment is due on or before the beginning of the session. We recommend registering a month before the start of the session. Requests for a payment plan, barter, or a scholarship may be made by contacting VISIONS’ Boston/Roxbury office.

 

New York - TBD ($2,000 or $1,800 for continuing participants)
Boston - starts September 23-24, 2010 ($2,000 or $1,500 for previous participants)
Pasadena/Oakland - starts Oct. 24-25, 2010 ($2,000 or $1,500 for previous participants)



Step 2.  Registration Information

Please note: Your privacy is important to us. We are committed to keeping your information safe and secure. The information we collect is for our purposes only and will not be shared with any third parties.

Required fields are marked with * below.

 

*First name         Middle initial  
*Last name    
Title    
Organization    
*Address    
Address 2    
*City    
*State/Province       
*Zip/Postal code    
Country    
Work Phone    
Home Phone    
FAX    
*E-mail    

Step 3.  Form Submission

Please take a moment and review the information you provided above for accuracy. Be sure you have selected the correct workshop, location, and date. After you submit this form we will contact you within 3-5 business days based on the information you provided.


 


*NOTE: Your registration is not complete until we have received payment.

 

 

 

Thank you for submitting your pre-registration form.

 

Step 4.  Payment

CHECK:

If paying by check or money order, please make it payable to: VISIONS, Inc. and mail to: VISIONS, Inc., 48 Juniper Street, Roxbury, MA 02119

CREDIT CARD:

VISIONS, Inc. accepts credit card payments through Paypal. You do not have to have a Paypal account to pay via credit card.

Proceed to online payment form.



Cancellation Policy for Four-Day & Peer Supervision workshops: A registrant may cancel 30 days prior to the workshop and fees paid to date can be transferred to a future workshop within one year. If a registrant cancels over 14 and up to 30 days she/he will forfeit half of the program fee and the additional amount will be transferred to a future workshop within one year. If a registrant cancels with less than 14 days notice, VISIONS will consider all monies paid a tax-deductible donation and will issue a letter of contribution to the registrant. VISIONS may cancel a scheduled workshop one month in advance if registration is insufficient. In this case, all monies will be refunded.

 

 

If you have any problems with this registration process or would like additional information, please click here or call the VISIONS office at (617) 541-4100 or (877) 689-3913.


 

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Recognizing Understanding and Appreciating differences