Human Services 2019 Conference Registration

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The Human Mosaic

Please complete the form below to register for the 2019 Human Services Conference. The conference will be held on June 5th at Raritan Valley Community College. Registration will begin at 8:15am . Breakfast and lunch will be provided. For more information and the workshop details view the conference flyer.
Please correct the field(s) marked in red below:

1
Last Name
 *
2
First Name
 *
3
Agency
 *
4

Email Address

 *
5
Phone Number
 *
6

Please select one workshop for Session 1
(registration will be based on workshop availability)

 *
Please select one workshop for Session 1 (registration will be based on workshop availability)
7

Please select one workshop for Session 2
(registration will be based on workshop availability)

 *
Please select one workshop for Session 2 (registration will be based on workshop availability)

Please make all $20 checks payable to The Treasurer of Somerset County.  Checks can be mailed to the address below:

Attention: Julie DeSimone
Department of Human Services
PO Box 3000
Somerville, NJ 08876

If more than one person from your agency is attending the conference, they must register separately but only one check for the full amount is needed. All payment must be received in order to finalize your registration.  Once we receive your payment you will be notified that you are registered for the conference. Fee waived for SC Department of Human Services Staff.

 

If you have any questions about registration or the conference please contact Julie DeSimone at 908-704-6335 or desimone@co.somerset.nj.us. We look forward to seeing you at the conference.

 

 

  1. To receive a copy of your submission, please fill out your email address below and submit.