Online Registration

First Name

Last Name

E-mail Address (required)

What school do you attend?

Detroit Mercy College of Health Professions Michigan State University College of Human Medicine Michigan State University College of Osteopathic Medicine Michigan State University Nursing School Michigan State University School of Social Work Oakland University School of Nursing University of Michigan Medical School University of Michigan Nursing School University of Michigan School of Public Health University of Michigan School of Social Work Wayne State University BMS Program Wayne State University Physician Assistant Studies Wayne State University Nursing School Wayne State University School of Medicine Wayne State University School of Social Work Wayne State University College of Education Wayne State University College of Allied Health Pre-Medical Student School was a long time ago Other Workshop/Panel Speaker Residency Representative HealthFOCUS

Other

If you are in school, what year in school are you? 1 2 3 4

Are you a Wayne State Co-Curricular student? Yes No

What kind of lunch would you like (from Jimmy John's)? Turkey Vegetarian

Method of Payment? Credit Card Check/Cash

How did you hear about us? Postcard/flyer Email announcement Word of Mouth Attended past conferences

Please select your first choice for Workshop Session One

Changing the Faces of Metabolic Disease by Newborn Screening: A Care Continuum Self-Esteem Issues of Children with Special Needs Meeting the Needs of the Hungry Everything You Ever Wanted to Know About Sickle Cell Disease But Were Afraid To Ask The Complimentary Medicine of Music Therapy Federation of Youth Services: Our Youth Are At Risk

Please select your second choice for Workshop Session One

Changing the Faces of Metabolic Disease by Newborn Screening: A Care Continuum Self-Esteem Issues of Children with Special Needs Meeting the Needs of the Hungry Everything You Ever Wanted to Know About Sickle Cell Disease But Were Afraid To Ask The Complimentary Medicine of Music Therapy Federation of Youth Services: Our Youth Are At Risk

Please select your first choice for Workshop Session Two

Educating the Medically Fragile Child Children's Mental Health Needs Dealing With Children's Special Needs in the Classroom My Life With a Special Needs Child The Challenge of Asthma Care in an Inner City Pediatric Medicaid Population Adolescent HIV Residency Workshop Q & A Session with Dr. Silas Norma, Jr. Assistant Dean for Admissions (pre-Med program)

Please select your second choice for Workshop Session Two

Educating the Medically Fragile Child Children's Mental Health Needs Dealing With Children's Special Needs in the Classroom My Life With a Special Needs Child The Challenge of Asthma Care in an Inner City Pediatric Medicaid Population Adolescent HIV Residency Workshop Q & A Session with Dr. Silas Norma, Jr. Assistant Dean for Admissions (pre-Med program)

We will place participants on a first come, first serve basis. Please note that you may not receive your first or second choice.