Webinar Registration 12_06_2012

1. Registration for Webinar - Modifications in an Elem Classroom, Dec. 6; 3:30-4:15

Session Title: Webinar Series: Modifications in an Elementary Classroom
Presented by: Joane McLaughlin
Date: Dec. 6, 2012
Time: 3:30pm-4:15pm
Location: Online, using Adobe Connect Platform

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REQUIRED INFORMATION
All questions requiring a response are marked with an asterisk (*). At the end of the survey, you will have a link to enter the Webinar. You will also receive an email the day of the webinar, with the link to join.

Question Title

* 1. School District/Coop
(We have options for those that aren't with a district, please be as accurate as you can.)

Question Title

* 2. Contact Information

Name (First and Last)

E-mail

Confirm E-mail

Question Title

* 3. Role/Position

Adaptive PE

Administrator, REG ED

Administrator, SPED

Autism Specialist

Behavior Specialist

Low Incidence Specialist

Parent

School Nurse

School Psychologist

SLP

Social Worker

Teacher, ECSE

Teacher, REG ED

Teacher, SPED

Transition Specialist

Vocational Education Specialist

Other (please specify)

Question Title

* 1. School District/Coop(We have options for those that aren't with a district, please be as accurate as you can.)

Question Title

* 2. Contact Information

Question Title

* 3. Role/Position

* 1. School District/Coop
(We have options for those that aren't with a district, please be as accurate as you can.)