2007 FPR-UCLA Seven Dimensions of Emotion Conference: Press Registration Form

  • Title: Dr. Miss Mr. Mrs. Ms.
  • First Name:
  • Middle Name:
  • Last Name:
  • Educational Degree(s) Attained (please specify)
  • Press Eligibility: Working press/media Freelance science writer
  • Job Title:
  • Publication/Media Affiliation:
  • Street Address:
    City: State: Zip Code:
    Country:
  • Phone Number:
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  • E-mail Address:
  • Current Memberships (check all that apply):
    Member of NASW Regional affiliate of NASW Member of CSWA
    Member of ISWA Member of SEJ
  • I have a letter from a recognized publication/press assigning me to this conference
  • If you have by-lined work on psychiatric disorders or mental illness published in 2008-2010, please provide details of these publications below (e.g., title of the published article, year of publication, names of authors, name of journal).

The 2007 Conference