College of Education and Human ServicesSouthern Illinois University
Service Programs

Rehabilitation Counselor Training Application Request

Please send me an application to the Rehabilitation Counselor Training Program at the Rehabilitation Institute, Southern Illinois University.

In addition, I would appreciate information on the following programs (check as many as you wish):

_____Rehabilitation Administration and Services

_____Communication Disorders and Sciences

_____Behavior Analysis and Therapy

_____Doctor of Rehabilitation

Name:

Address:

Zip:

Country:

Phone Number:

E-mail Address:

Mail to:
Coordinator
Rehabilitation Counselor Training Program
Rehabilitation Institute - Mailcode 4609
Southern Illinois University
Carbondale, IL 62901
(618)453-8262
Fax: (618)453-8271

Email to: iruark@siu.edu