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HomeMy WebLinkAbout258746 05/18/16 W.41q CITY OF CARMEL, INDIANA VENDOR: 370628 "• ONE CIVIC SQUARE NORTH AMERICAN DRAMA THERAPY AMOUNT: S"'"""100.00• CARMEL, INDIANA 46032 1450 WESTERN AVE CHECK NUMBER: 258746 ASUITE BAN 01 12203 CHECK DATE: 05/18/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341999 2793 100.00 OTHER PROFESSIONAL FE Voucher No. Warrant No. North American Drama Therapy Association Allowed 20____ 145OWestern Ave, Suite 1O1 A|beny. nY 12203 ON ACCOUNT OFAPPROPRIATION FOR 109-KOonmmCenter PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members ~.r~ 81 2793 4341999 $ 100.00 | hereby certify that the attached invoice(s). or bi||(o)io (one)true and correct and that the materials which charge is made were ordered and received except May 17 2018 Signature Accounts Pb|eCoord|natmr Cost distribution ledger classification h Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. North American Drama Therapy Association Terms 1450 Western Ave, Suite 101 Albany, nY 12203 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/27/16 2793 Drama Therapist Certification M.Yadon $ 100.00 5/1/16-4/30/17 Total $ 100.00 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer NORTH AMERICAN , DRA TH - APY 1. ASSOCIATION MAY .16 2016 ���North ArrreclCar��Drama m�erap_y�Assocratron� BN7 MO�—�- -- -' t ice it�50':U(Ies.-ern Avenue�Soite`1`Q 1 � �A ba y NY�1�2203;� p. 888.416.7167 Date Cil G.1# f 518.463.8656 - };, 1 e. office@nadta.org `4, 27 16 Xx Bill To Member Information Michele Yadon Carmel.Clay Parks & Recreation 1445 N. Delaware St. #311 1411 E_ 1 16th Street Indianapolis, IN 46202 Carmel, IN 46032 PO Terms Due Date Due by April 30 Description Amount Membership Renewal- Professional RDT $100.00 Total S100.00 Ba(ance;Due�h-.3 y W v Please remit pay,m- ; rtf ti,Amer[can Drama Thera socraIIdrs_. �G a; p.YYr, 145fT'�Cfesteen ger€e Sriite Q 1 Zai S p.888.416.7167 f 518.463.8656 e.office@nadta.org 1450 Western Avenue,Suite 101 Albany,NY 12203 • T: (888)416-7167 F: (518)463-8656 nadto.org r , 2016-2017 Membership/Registry ryRen wal" 1-71 � OR THE PERIOD: MAY 1,2016 TO APRIL 30,2017 Ma X016 Due by May 1, 2016 MAILING ADDRESS (Please Print) Renewi g is easy when you do it online at NADTA.ORG! NAME BIRTHDATE M;�:>,►�� i� vaa G1�1 ( 1 / Month Dofe Year COMPANY(ONLY if mail isto vl ms/ to/be delivered to a business address, /,orr if you rare an ORGANIZATION who is renewing) � New Membership CC),i Y'lC I C 1 t-' � 'l 1 "�c. t ci ho, V—) 15�:] Renewal ADDRESS Race/Ethnicity*: n i r /'i ` ❑ Asian l� ( V � a I � `,� V� �/� v� ❑ Black/African American CITY STATE/PROVINCE ZIP/POSTAL CODE ❑ Hispanic/Latino/a ❑ Indigenous(First Nations/American Indian/Alaskan Native) C� < e I !�� C�3 ❑ Inuit COUNTRY EMAIL ❑ M6tis � l CGr,ine I ❑ Middle Eastern -)` \ I r/ Gy , C)Ct ��� Ce ❑ White/Cauca Nafive Hawaiian/Pacific Pacific Islander n HOME PHONE CELL PHONE WORK PRONE FAX ff Other .1 _ 'This demographic information provides NADTA with 1 ���/`i I `3d 1 _5 _ `�/I 5 o clearer picture a our communities membership and "( "� l ( ,_.f — 5Q(`--I" helps us identity the communities we may not be membership 2QIV. ACKNOWLEDGEMENT NADTA turns away no one based upon economic hardship.If you have special needs or extenuating I have read, understand,and agree to abide by the newly revised NADTA Code of circumstances,please contact our office. Ethical Principles posted on the NADTA website at: http://www.nadta.org/about- Alternative Training Students are required to nadta/code-of-ethics.html. I understand that membership and/or registry is contingent renew their membership through the duration upon this signed ac owle gement,which wip be kept on file at the NADTA office. of their ro ram. (- n Failure to renew registry will void credentials.It is X 6_ the responsibility of the RDT to renew by May 1st r each year. SIGNATURE(Required for Registry and Mem rship in NADTA) DATE Save paper and postage! Description Fee Amount Renew and pay online at www.nadta.org. >_ Professional RDT/BCT or RDT/MT Includes membershi $120.00 Click on Membership and then on the renewal link. S2 ( p) We also encourage you to login to update your online Uj Professional RDT(includes membership) $100.00 � ) C profile. Organization/School $105.00 CHECK/MONEY ORDERS: a Member $60.00 All currency must be in U.S. dollars. _ Make checks payable to: NADTA W Allied Professional $60.00 wm 65+Member(Proof of Age Required--Retired M and no longer usingRDT credential $50.00 Ld CHECK or MONEY ORDER NUMBER Renewing Alternative Training Student $40.00 Student $40.00 There is a$25 fee if check is returned for insufficient funds.We lease attach a copy of your student ID encourage Canadian and International members to use a CHAPTER DUES credit card,as the bank charges we incur are substantial. []Tri-State ❑New England $15.00 ❑Socal ❑Canada Return this form to: NADTA INTERNATIONAL POSTAGE FEE 1450 Western Avenue Suite 101 e.office@nadto.org w Outside U.S.,Canada,orMexico $15.00 Albany,NY 12203 f.518.463.8656 o Alternative Training Fee IIIxFee-Signed initial contract required) (1-year Alternative Training $80.00 Student Membership included TOTAL PAYMENT AMOUNT: $ Drama Therapy Fund Donation(Tax Deductible) Late Fee(after June 1,2016) $20.00 CREDIT CARD(Please PRINT name as it appears on credit card.) ❑VISA/MASTERCARD ❑AMERICAN EXPRESS NAME ON CARD(Please Print) ADDRESS(Must match billing address in credit card profile.) CITY STATE/PROVINCE ZIP CODE COUNTRY CREDIT CARD NUMBER EXP.DATE(MONTH/YEAR) AUTHORIZED SIGNATURE DATE NORTH AMERICAN'`' DRA TH E APY President `, ASSOCIATION Jason D Butler " MAY 10 NIB PhD,RDT/BCT,LCAT March 1, 2016 _ BY: President-Elect PY Colleague, Dear Drama Thera Collea Laura Wood 9 ABD,RDT/BCT Thank you for being a part of the North American Drama Therapy Vice President Association community. It is your connection with drama therapists, Josiah Stickels students, and allied professionals through our organizations that strengthens MA,RDT,LMFT the profession. We are grateful to be in community with you.We invite you Treasurer to renew your membership for the 2016-2017 year (May 1, 2016 to April 30, Karen Knoppenberger 2017). RDT/BCT,LSCSW Secretary The North American Drama Therapy Association advocates for the Whitney Sullivan profession of drama therapy in the United States, across Canada and in MA,RDT,LCSW Mexico. Our international members are also an important part of the Communications Association as drama therapy continues to spread throughout the world. Doug Ronning We hope to continue to provide a sense of belonging to an increasingly MA,RDT/BCT,LMFi diverse and growing community and your support and involvement is the Education way that we will achieve this goal. Adam Reynolds RDT/BCT,MFA,LCSw, These are some of the benefits and services that we offer our members: CASAC Ethics The right to vote for candidates who will serve on the Board of Directors. Patrick Hughes These volunteers represent the needs of the membership.The present MA,RDT,LHMC Board began their term in December 2015 and will continue until 2017. Government Affairs Anyone interested in serving on the Board should contact Laura Korimah Dillard Wood, President-Elect at presidentelect@nadta.org. MA,RDT/BCT Membership The ability to nominate colleagues for awards. We encourage your Susan ward nominations as you have knowledge of the professionals within your MA,RDT/BCT community who are most deserving. Please go to the website at Diversity www.nadto.org where you will find a link to the list of awards.These Jessica Bleuer awards are presented at the annual conference. MA,MEd,CCC,RDT Research Complimentary printed copy and exclusive online access to Drama Calci Armstrong j Therapy Review, the academic journal of drama therapy in North PhD,RDT America. Western Region Mimi Savage Access to the online member directory through the members-only PhD,RDT section of the website. Central Region Alissa Duncan • Support from regional representatives, and,where available, affiliation MA,RDT with a local chapter. Eastern Region Angela Wiley • Support for your advocacy efforts from your Government Affairs MA.RDT/BCT,LPC,LPCS, committee. LCAS,CCS,NCC,MAC, BC-DMT,CTS Canadian Region Csilla Przibislawsky RDT,CCC 1450 Western Avenue,Suite 101 Albany,NY 12203 T: (888}416-7167 • F: (518)463-8656 • nadta_org A,-ZC 1`VZD MAY 10 ?016 President ' Online Drama Therapist listing for credentialed RDTs and BC S--( Jason D Butler Available to the general public through the "Find a Drama herapist`-v PhD,RDT/BCT,LCAT on our website. President-Elect Laura Wood • Access to online publication, "Behind the Scenes"which provides ABD,RDT/BCT updates from committee activities, links to the "Member Spotlight," Vice-President and information about what is happening in the field of drama Josiah Stickels therapy. MA,RDT,LMFT • Discounts on registration fees for the annual conference and regional Treasurer Karen Knappenberger conferences.This year we will be meeting in Seattle for our 37th annual RDT/BCT,LSCSW conference to explore the topic of The Power of Dramatic Play and. Creativity.Sunshine under the Umbrella. Please go to the conference Secretary Whitney Sullivan link on the website (www.nadta.org). MA,RDT,LCSW • Your own "Members Only" profile where you can access your records Communications of membership status, network with other members, view and Doug Ronning MA,RDT/BCT,LMFT print online receipts for all NADTA conferences, and keep an ongoing record of CEs to maintain your RDT. Education Adam Reynolds ' on odrama era Inclusion dtherapy at the Natioal Coalition of Creative Arts RDT/BCT,MFA,LCSW, py n CASAC Therapies Association (NCCATA) which provides representation and Ethics advocacy for drama therapy and creative arts therapies to national Patrick Hughes conferences, advocacy events, and the joint commission. MA,RDT,LHMC Government Affairs The North American Drama Therapy Association is your professional home Karimah Dillard and exists to protect and promote the profession of drama therapy. If you MA,RDT/BCT would_like to become more involved in the growth and development of this Membership organization, please email Laura Wood, President-Elect at Susan ward presidentelect@nadta.org.We welcome your participation. MA,RDT/BCT Diversity Please take a moment today and renew your membership. Visit Jessica Bleuer www.nadta.org today and click on "Renew Online" under the membership MA,MEd,CCC,RDT button. You may also renew by mail or call us to renew by phone. Please Research contact us with any questions at our toll free number 1.888.416.7167. Calli Armstrong PhD,RDT We encourage you to renew your membership before May 1,2016.A late Western Region fee of 20 will be charged for memberships that are over 30 days past due. Mimi Savage PhD,RDT This is your professional community. We value your membership and look forward to serving you in 2016-2017.As always,we welcome feedback and Central Region Alissa Duncan recommendations from our membership. Please feel free to reach out to us. MA,RDT Sincerely, Eastern Region Angela LPCS, ley MA,RDT/BCT,LPC, PCS � LCAS,CCS,NCC,MAC, BC-DMT,CTs Jason Butler, PhD, RDT/BCT Susan Ward, MA, RDT/BCT Canadian Region President Membership Chair Csilla Przibislawsky president@nadta.orQ membership@nadta.o[g RDT,CCC 1450 Western Avenue,Suite 101 • Albany,NY 12203 T: (888)416-7167 • F: (518)463-8656 • nadta.org