2010 Summer Workshop Schedule 

Registration Form       
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  Click here for a map for workshops located in Troy Michigan. Click here for a map for workshops located in Grand Rapids
           Please check the workshop(s) selected

Date

Title of Workshop

 Location

Hrs

Cost
____ Fri June 25 Professional Ethics Troy 6 $ 79.00
____ Fri July 9 Street Drugs / Current Drugs of Choice Troy 6 $ 79.00
____ Fri July 23 Documentation Standards Skills & Techniques Troy 6 $ 79.00
____ Fri Aug 6 IC&RC Counselor Written Exam Preparation Troy 6 $ 79.00
____ Fri Aug 13 Understanding & Utilizing the ASAM Criteria Troy 6 $ 79.00
____ Fri Aug 20 Group Therapy / Role & Responsibilities of the Facilitator  Troy 6 $ 79.00
____ Fri Sept 10 Clinical Supervision Troy 6 $ 79.00
Fri Sept 17 Professional Ethics Troy 6 $ 79.00
Fri Sept 24 Managing Depressive Symptoms in Early Recovery Troy 6 $ 79.00
____ Wed Nov 17
& Thur Nov 18		 DOT/SAP Initial Qualification Training & Requalification Training Troy 12 $295.00
____ Fri Nov 19 DOT Initial Qualification Test 
Note: DOT Test Required for DOT Initial Training Only		 Troy $125.00

Name: ________________________________ Email: _____________________________________ 

Agency: ___________________________________________________________________________ 

Address: __________________________________________________________________________ 

City: ____________________________________ State: ______________ Zip: _________________ 

Phone: (________)____________________________________ Amount Enclosed: _____________ 

__________________________________________________________________  / ________________
Visa / MasterCard Number                                                                                Expiration Date

Signature: ________________________________________________________________________  
Enclose the registration form with check or Visa/MasterCard number payable to: 

Tom Foley Associates, Inc. 
P.O. Box 295 · Marysville, MI 48040
Phone # (810) 388-0200 · Fax # (810) 388-1342
 email: tfa@tir.com
Click here to E-Mail Tom Foley