Juvenile Case Managers Brochure.pdf - Texas Municipal Courts ...

TEXAS MUNICIPAL COURTS EDUCATION CENTER
JUVENILE CASE MANAGERS CONFERENCE
REGISTRATION FORM
Conference Date: June 25-27, 2013
Conference Site: Omni Southpark Austin
4140 Governor’s Row
Austin, TX 75001
Telephone: 512.448.2222
$50.00 Registration Fee for Juvenile Case Managers (There is no CLE or TCLEOSE credit for the Juvenile Case Manager Conference)
Name (please print legibly): Last Name: ________________________________ First Name: __________________ MI:___________
Names you prefer to be called (if different): _________________________________________________Female/Male: ______________
Position held: __________________________________________________________________________________________________
Date appointed/hired/elected: ____________________________________Years experience:___________________________________
Emergency contact:______________________________________________________________________________________________
JUVENILE CASE MANAGERS CONFERENCE AGENDA*
REGISTRATION June 25, 2013
1:00 - 5:00 p.m. Registration
DAY 1 (Wednesday) June 26, 2013
6:45 - 7:50 a.m. Registration & Breakfast
8:00 - 8:10 a.m. Welcome & Announcements
8:10 - 9:20 a.m. Eye on Horizon: Legislation of Interest to Juvenile Case Managers
9:30 - 10:30 a.m. Program Building and Community Relations
10:45 - 12:00 p.m. Assessments: Examples and Application
12:00 - 1:00 p.m. Lunch
1:00 - 2:00 p.m. Ethics: Conflicts of Interests
2:10 - 3:00 p.m. Detecting Neglect
3:15 - 4:00 p.m. Integration: Putting it Together (Small Groups)
4:10 - 5:00 p.m. Q&A and Debriefing
5:00 p.m. End of Session
DAY 2 (Thursday) June 27, 2013
6:45 - 7:50 a.m. Breakfast
8:00 - 8:10 a.m. Announcements
8:10 - 9:15 a.m. JNA (Juveniles Now Adults) from the JCM Perspective
9:30 - 10:45 a.m. Stress Management
11:00 - 12:00 p.m. Communicating with the Court
12:00 noon End of Conference
*All times, topics, and sequence, are tentative and subject to change.
With a supplemental grant from the Texas Court of Criminal Appeals, the Texas Municipal
Courts Education Center (TMCEC) is pleased to offer a seminar specifically-designed for
juvenile case managers.
To help local government fulfill the training requirements for juvenile case managers under
S.B. 61 (enacted by Acts 2011, 82nd Leg., ch. 868), TMCEC curriculum focuses on: (1) the role
of the juvenile case manager; (2) case planning and management; (3) applicable procedural
and substantive law; (4) courtroom proceedings and presentation; (5) services to at-risk youth
under Subchapter D, Chapter 264, Family Code; (6) local programs and services for juveniles
and methods by which juveniles may access those programs and services; and (7) detecting and
preventing abuse, exploitation, and neglect of juveniles.
HOUSING INFORMATION - Note: $50 per night single room fee
TMCEC will make all hotel reservations from the information you provide on this form. TMCEC will pay for a double occupancy room at the juvenile
case managers conference. To share with another specific seminar participant, you must indicate that person’s name on this form.
I request a private, single-occupancy room ($50 per night: ____ # of nights x $50 = $_______ ).
I request a room shared with a seminar participant. Room will have 2 double beds. TMCEC will assign roommate or you may request roommate by
entering seminar participant’s name here:__________________________________________________________.
I request a private double-occupancy room, but I’ll be sharing with a non-participating guest. I will pay additional cost, if any, per night
( $50 per night: ____ # of nights x $50 = $_______ ). I will require: 1 king bed 2 double beds.
I do not need a room at the seminar.
Hotel Arrival Date (this must be filled out in order to reserve a room): ___________________ Smoker
Non-Smoker
Court Name: _________________________________________________ Email Address: _________________________________________
Court Mailing Address: __________________________________________ City: ________________________ Zip:______________________
Office Telephone #: _____________________________________________ Court #: _____________________ Fax: _____________________
STATUS (Check all that apply):
Full Time Part Time Attorney Non-Attorney Juvenile Case Manager Other: ______________________
Presiding Judge Court Administrator Justice of the Peace
Associate/Alternate Judge Court Clerk/ Deputy Clerk Mayor (ex officio Judge)
I certify that I am currently serving as a municipal judge, juvenile case manager, or court support personnel, in the State of Texas. I agree that I will be responsible for any
costs incurred if I do not cancel at least 10 business days prior to the conference. I agree that if I do not cancel at least 10 business days prior to the event that I am not
eligible for a refund of the registration fee. I will first try to cancel by calling the TMCEC office in Austin. If I must cancel on the day before or day of the seminar due
to an emergency, I will call the TMCEC registration desk at the conference site IF I have been unable to reach a staff member at the TMCEC office in Austin. If I do not
attend the program, TMCEC reserves the right to invoice me or my city for meal expenses, course materials and, if applicable, housing ($85 or more plus tax per night). I
understand that I will be responsible for the housing expense if I do not cancel or use my room. If I have requested a room, I certify that I work at least 30 miles from the
conference site. Full payment is due with the registration form. Registration shall be confirmed only upon receipt of registration form and full
payment of both the registration fee and the hotel room.
________________________________________________________
Participant Signature (may only be signed by participant)
________________________________
Date
PAYMENT INFORMATION: Payment will not be processed until all pertinent information on this form is complete.
Amount Enclosed: $________ Registration Fee + $_________ Housing Fee = $_________________
Check Enclosed (Make checks payable to TMCEC)
Credit Card Payment (Complete below.)
Credit Card Payment: Amount to Charge: _________ Credit Card Number: ___________________________________
Expiration Date: ___________________________________
Credit card type:
MasterCard
Visa
Name as it appears on card (print clearly): __________________________________________________
Authorized signature: ___________________________________________________________________
Please return completed form with payment to TMCEC at 2210 Hancock Drive, Austin, TX 78756, or fax to 512.435.6118. Because this conference is paid for
by grant funds, by submitting this form, you agree to attend the general conference in its entirety.