5/11/12: Helping Parents and Schools Become More Effective Partners - Jamaica

Please complete this form to register for the May 11, 2012 session. The questions with an asterisk (*) require an answer. Thank you.

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* 1. First Name

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* 2. Last Name

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* 3. E-mail Address

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* 4. Zip Code (This is for geographic information only, not for identification.)

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* 5. Address

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* 6. Telephone Number

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* 7. Any special accommodations required

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* 8. Tell us about yourself. (Check all that apply.)

New York State Education Department personnel

School attorney

School district personnel

Parent of a child with a disability

Committee on Special Education member

Parent advocate or attorney

Other (please specify)

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* 9. How do you usually get information about special education including information about programs, services and rights? (Please check your two top choices.)

E-Mail

Internet

Presentations/speakers

Word of mouth

Standard Mail

Other (please specify)

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* 1. First Name

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* 2. Last Name

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* 3. E-mail Address

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* 4. Zip Code (This is for geographic information only, not for identification.)

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* 5. Address

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* 6. Telephone Number

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* 7. Any special accommodations required

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* 8. Tell us about yourself. (Check all that apply.)

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* 9. How do you usually get information about special education including information about programs, services and rights? (Please check your two top choices.)

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* 10. Do you have any specific questions or needs you would like addressed at the training?