presents ... featuring ... Dr. John Tilley& dr. Bob Stinson forensic Psychologists Friday. April 24. 2015 8:45 a.m.— 4:00 p.m.* Continuing Legal Education Credit Hours: 5.5 Continuing Education Unit Credit Hours: 5.0 WHERE Columbus Bar Association 175 S. 3rd St. | Ste. 1100 Columbus . Ohio 43215 OMA Members: Non-OMA Member Non-Attorneys: Non-OMA Member Attorneys: $140 $220 $375 Valuable for Mediators, Arbitrators, Lawyers, Judges, Social Workers, Court Employees, Human Resource Professionals, Psychiatrists, Trainers, Therapists, and Educators. Refreshments & snacks will be provided through- *Registration opens at 8am. Register for the Conference or renew your OMA membership online today ! out the day. Lunch will be served at 11:30 a.m. P.O. Box 473 | Columbus . Ohio 43216 614.321.7922 | www.MediateOhio.org facebook.com/OhioMediationAssociation presents ... featuring ... Dr. John Tilley& dr. Bob Stinson clinical forensic Psychologists Identify various signs of personality disorder and personality pathology Learn about your personality type Identify ways in which your personality type impacts mediation Learn tips and strategies for improving communication and facilitating mediation, considering the personalities involved 8:45— 9:00 9:00—11:30 11:30—12:30 12:30— 2:00 2:15— 3:30 3:30— 4:00 Opening Remarks Personality Pathology (Stinson & Tilley) LUNCH What’s Your Personality Type? (Tilley) Improving Communication (Stinson) Closing Comments & Wrap-Up Register for the Conference or renew your OMA membership online today ! P.O. Box 473 | Columbus . Ohio 43216 614.321.7922 | www.MediateOhio.org facebook.com/OhioMediationAssociation 2015 Annual OMA Conference & Membership Registration Please choose your selections: OMA Member Non-OMA Member Non-Attorney Before 3.24.15 $110 $190 $345 After 3.24.15 $140 $220 $375 Individual Member $60 $60 Institutional Member $100 $100 2015 OMA Conference (April 24. 2015) Non-OMA Member Attorney Sub Total OMA Annual Membership Total $ 0.00 Send registration form and check payable to: Ohio Mediation Association, P.O. Box 473, Columbus, OH 43216 — OR — Pay online with PayPal at mediateohio.org. Conference Registration Name: Organization or Institution: Address: Phone: Fax: E-mail: Please indicate if you would like a vegetarian meal: Membership Registration Name or Institution: If Institution, to whom should mail be directed? Address: Phone: Fax: E-mail: I subscribe to the mission of the OMA and desire membership in the following category: Individual Membership is available to all interested persons. Individual members shall have full voting rights, shall be eligible to serve as OMA officers and chairs of standing or ad hoc committees, shall receive the OMA newsletter, Mediate Ohio and meeting minutes and discounted rate on selected OMA events, and shall be listed in the Directory if registered before July 1 each year. Annual dues payable to Ohio Mediation Association are $60 for the year May 1—April 30. Institutional Membership is available to any institution or organization of 2-10 members. Staff of institutional member may participate in all activities of the OMA. Each institutional member shall have one vote, may have one designated person eligible to serve as OMA officer and chair of standing and ad hoc committees, shall receive Mediate Ohio and meeting minutes, receive discounted rates on selected OMA events and shall be listed in the Directory as an institution if registered before July 1 each year. Annual dues payable to Ohio Mediation Association are $100 for the year May 1—April 30. I wish to donate $ to help expand OMA’s resources to promote and advance the institutionalization of mediation and advocate for initiatives that serve the interests of mediators. Please note that your contribution may not be tax-deductible. Make check payable to: Ohio Mediation Association or pay online with PayPal at mediateohio.org. I allow the OMA to include my name and mailing information on lists provided solely to other mediation associations and organizations and to list this information in the online Membership Directory on the OMA website www.mediateohio.org. Yes No Signature and Date
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