REGISTER FOR SPRING 2012 COURSES THROUGH THE MAIL

To register for SPRING 2012 courses through the mail, follow these easy steps:

  1. Print out this page and complete all requested information. Please print clearly.

  2. Mail the form and payment to: Tamika Hall, Administrator, PSP, 313 S. 16th Street, Philadelphia PA 19102. Form and payment must be received by January 20th. Register by January 20th and receive a 5% Early Bird discount!

  3. You will receive written confirmation that we have received your registration within one week from the date we receive it

If you would like to receive an additional 5% discount on tuition, register for courses on-line by clicking here.

PSP Senior Candidates ONLY: click here to register through the mail.


SPRING 2012 REGISTRATION FORM

 

Name:_________________________________________________________________________

Address:_______________________________________________________________________

Phone Number: __________________________________________________________________

E-Mail Address: _________________________________________________________________


Please select courses with a check mark:

SPRING 2012 COURSES

____ Modern Psychoanalytic Theory and Treatment Techniques, Part II (REGISTRATION FOR THIS COURSE IS CLOSED. CONTACT PSP ADMINISTRATOR FOR REGISTRATION INFORMATION)
Instructor: Marsha Levy
Instructor: Stephen Day Ellis
Class Dates: Sat. 1/28, 2/4, 2/11, 2/18, 2/25, 3/3, 3/10, 3/17, 3/24, 3/31, 4/14, 4/21
Class Time: 9:00 a.m. – 10:15 a.m.
Tuition: 325.00
Course Level: Basic

____ Transference and Resistance Workshop (REGISTRATION FOR THIS COURSE IS CLOSED. CONTACT PSP ADMINISTRATOR FOR REGISTRATION INFORMATION)
Instructor: Stephen Day Ellis
Class Dates: Sat. 1/28, 2/4, 2/11, 2/18, 2/25, 3/3, 3/10, 3/17, 3/24, 3/31, 4/14, 4/21
Class Time: 11:50 a.m - 1:05 p.m.
Tuition: 325.00
Course Level: All Levels

____ Clinical Perspectives on Freud's Social Thought and Activism (REGISTRATION FOR THIS COURSE IS CLOSED. CONTACT PSP ADMINISTRATOR FOR REGISTRATION INFORMATION)
Instructor: Wallace Fletcher
Instructor: Raymond Gourley
Class Dates: Sat. 1/28, 2/4, 2/11, 2/18, 2/25, 3/3, 3/10, 3/17, 3/24, 3/31, 4/14, 4/21
Class Time: 9:00 a.m. - 10:15 a.m.
Tuition: 325.00
Course Level: Intermediate

____ Modern Psychoanalytic Diagnosis, Part II (REGISTRATION FOR THIS COURSE IS CLOSED. CONTACT PSP ADMINISTRATOR FOR REGISTRATION INFORMATION)
Instructor: Stephen Day Ellis
Instructor: Alba Hidalgo
Class Dates: Sat. 1/28, 2/4, 2/11, 2/18, 2/25, 3/3, 3/10, 3/17, 3/24, 3/31, 4/14, 4/21
Class Time: 10:25 a.m. - 11:40 a.m.
Tuition: 325.00
Course Level: Advanced (or with instructor's permission)

____ Human Maturation and Development, Part II: From Conception to Age Two (SEMESTER 2 OF 4) (REGISTRATION FOR THIS COURSE IS CLOSED. CONTACT PSP ADMINISTRATOR FOR REGISTRATION INFORMATION)
Instructor: Mary Elizabeth Lamb
Class Dates: Sat. 1/28, 2/4, 2/11, 2/18, 2/25, 3/3, 3/10, 3/17, 3/24, 3/31, 4/14, 4/21
Class Time: 10:25 a.m. - 11:40 a.m.
Tuition: 325.00
Course Level: Basic (Semester 2 of 4)

____ Modern Analytic Supervision, Training, and Teaching (SENIOR CANDIDACY STATUS ONLY)
Instructor: Stephen Day Ellis
Class Dates: Ongoing
Class Time: Once Monthly
Tuition: 0
Course Level: Senior Candidate Status Required



TOTAL TUITION (Add all Selections): ___________________________________


PAYMENT METHOD (Select one):

____ Check (Enclosed)

____ Money Order (Enclosed)

TUITION INSTALLMENT PAYMENT PLAN - FULL-TIME STUDENTS ONLY

Students who register for 3 courses (full matriculation) have the option of paying their Spring tuition in 4 equal installments.

Check one:

_____Yes, I would like to pay my tuition in 4 equal installments. I am registering for 3 courses for a total of $975.00. I enclose my first installment of $243.75 and will pay the remaining three installments of $243.75 on 2/1/12, 3/1/12, 4/1/12.

_____ No , I am not interested in the installment plan.


If you would prefer to register for courses on-line, click here.


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