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Professional Development - Credit Options

Greetings! IF you are interested in learning about pursuing more formal opportunities for you or your team to earn Credits or Professional Development hours with a specific focus on enhancing skills to interact/interview children and youth with disabilities please answer the questions below. We are developing a process for this to occur beginning Fall, 2016 and we will add you to this Training Interest Listserve. THANK YOU FOR YOUR INQUIRY. We look forward to enhancing our Resources and support in this area soon.

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* 1. What is today's date?

Date Only

Date

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* 2. What is your primary profession? (Select only ONE)

Law Enforcement

Social Worker

Psychologist / Mental Health provider

Medical

Child Advocacy

Justice / Legal

Child Protective

Researcher

Student

Educator

Other (please specify)

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* 3. What is your current WORK location?

Organization

City *

State/Province: *

Country: *

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* 4. At this time what is your PRIMARY area of interest related to enhancing skill development for working with children with disabilities?

	Yes	No
Acquiring Professional Development hours for WORK	Acquiring Professional Development hours for WORK Yes	Acquiring Professional Development hours for WORK No
Acquiring Credit for a DEGREE/LICENSE	Acquiring Credit for a DEGREE/LICENSE Yes	Acquiring Credit for a DEGREE/LICENSE No
Exploring Options - UNCERTAIN	Exploring Options - UNCERTAIN Yes	Exploring Options - UNCERTAIN No

Other (please specify)

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* 5. The design of the upcoming PD and Credit bearing materials will be available ONLINE and accessible to individual participants for a given period of time with LOGON from an accredited university. Answer the following:

	YES	NO	MAYBE
Will you be able to attend a course/workshop online AT WORK?	Will you be able to attend a course/workshop online AT WORK? YES	Will you be able to attend a course/workshop online AT WORK? NO	Will you be able to attend a course/workshop online AT WORK? MAYBE
Will you be able to attend a course/workshop online AT HOME?	Will you be able to attend a course/workshop online AT HOME? YES	Will you be able to attend a course/workshop online AT HOME? NO	Will you be able to attend a course/workshop online AT HOME? MAYBE
Will there be a concern if an appropriate FEE is charged for this Resource?	Will there be a concern if an appropriate FEE is charged for this Resource? YES	Will there be a concern if an appropriate FEE is charged for this Resource? NO	Will there be a concern if an appropriate FEE is charged for this Resource? MAYBE
Are you interested in exploring this option for YOURSELF?	Are you interested in exploring this option for YOURSELF? YES	Are you interested in exploring this option for YOURSELF? NO	Are you interested in exploring this option for YOURSELF? MAYBE
Are you interested in exploring this option for a TEAM?	Are you interested in exploring this option for a TEAM? YES	Are you interested in exploring this option for a TEAM? NO	Are you interested in exploring this option for a TEAM? MAYBE

COMMENT:

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* 6. CONTACT INFORMATION for ListServe Follow-Up

Name

Organization/Personal

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number