When is the next Aspen Network event:
Revolving dates year-round, contact Meg Fields Psy.D, RN for upcoming opportunities: [email protected], Ph: (925) 262-3135.
To be announced.
Online application submission PLUS a printed and signed copy:
Please fill out all sections of the following application form and supply all the requested information and materials. You will be able to electronically upload everything when you click the “Submit Application” button near the bottom. If you can’t complete the form entirely in one sitting, simply click “Save & Continue Later,” also near the bottom, to temporarily save what you have entered.
Note that you must download the Medical and Mental Health PDF forms (within the form below) and give them to your appropriate health professionals, to be filled out, signed and sent directly back to Aspen Network (following the directions on the forms) as promptly as possible.
VERY IMPORTANT: After you have fully completed the form — but before you click the “Submit Application” button — you must first print out a complete copy of the form and physically sign and snail-mail it to Aspen Network. After you have printed that out you can click “Submit Application” to send the electronic application. Note that we must receive BOTH the electronically submitted application and the physically-signed hard copy.
IMPORTANT: BEFORE clicking the Submit button above, you must FIRST click the Print This Application button below to print out your completed application.
CAMP APPLICATION CHECKLIST
In addition to the electronic version of the application (sent when you clicked the Submit Application button above) the following items must also be sent to Aspen Network:
1. Please snail-mail a printed copy of the fully completed application — with all required hand-written signatures. (Please also keep a copy of this document for your own records.)
2. With the above, please include your initial program deposit of $1000.00 — in check or money order payable to Aspen Network.
3. Please remember to download the Medical and Mental Health PDF forms (from the application above) and give those to your appropriate health professionals. They will need to fill out and return those directly to us ASAP, please.
Please send all of the above materials to Aspen Network:
Attn: Meg Fields, RN, Psy.D.
15 Vallecito Lane
Orinda, CA 94563
Email: [email protected]