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.

Boston, MA

April 16-19, 2013

Oakland, CA

June 18-21, 2013

Boston, MA

July 16-19, 2013

Boston, MA

October 22-25, 2013

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.

Boston

starts September 19-20, 2013

($2,000 or $1,500 for continuing participants)

Oakland

starts October 20-21, 2013
($2,000 or $1,500 for continuing 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    
Cell Phone    
FAX    
*E-mail    

Step 3.  Form Submission

Before submitting this form, please take a moment to review the information you provided in Step 2 above for accuracy. Also, be sure you have selected the workshop or peer supervision group for which you are registering by checking off the correct box in Step 1 (Workshop Selection). Then, click below.

 

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.

 


*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.
ATTN: Workshop Registration
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 for this method. To submit credit card info via phone please call the VISIONS, Inc office at 617-541-4100 and press 0.

 

Proceed to online payment form.



 

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