Thank you for your interest in joining us for the 25th Multicultural Conference, Higher Learning: Ethically Engaging in Disrupting Oppression.

Please contact Maha Baalbaki at [email protected] with any questions.

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Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.

Full Name *

Pronouns *
She/Her
He/Him
They/Them
Not listed Please specify a value for Pronouns

Email *

Please select the option with which you identify: *
GVSU Faculty/Staff ($50.00)
Currently Enrolled GVSU Student ($25.00)
Community Member ($99.00)

Please state the practice/university/employer you are representing:

If you hold any professional licenses, please indicate the license type (e.g., LMSW, LLMSW, LPC, LLPC, LP, LLP, etc.)

This conference is approved by the NASW-Michigan Social Work Continuing Education Collaborative for 7.5 CEs, including 1 Ethics CE and 3 Implicit Bias CEs. If you would like CEs for this event, there is an additional administrative fee of $11.50. *
- Select Option I would like CEs for attending this event ($11.50) I would not like CEs for attending this event. ($0.00)

License Number: You MUST provide a license number for CEs.

Please list any dietary restrictions.

Please specify any necessary accommodations.