THRIVE Center Workshop Writing Effective IEPs (Individualized Educational Program)Monday, October 16, 2017 Question Title * 1. Registration Form Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 2. Do you have dietary or accommodation needs? Question Title * 3. Describe your need: Place need here Question Title * 4. Please describe your race/ethnicity. American Indian/Native American/Alaska Native Asian Black/African American Caucasian Native Hawaiian/Other Pacific Islander Two or more races Other (please specify) Question Title * 5. What is your child's disability? ADD-ADHD Autism Spectrum Disorder Deaf-Blindness Developmental Delay (EC) Emotional Disturbance Gifted Hearing Imp. (include Deafness) Intellectual Disability No IDEA Disability Orthopedic Impairment (Physical) Other Health Impairment Specific Learning Disability Speech/Language Impairment Suspected/Undiagnosed Visual Impairment (include blindness) Other (please specify) Question Title * 6. How do you know about THRIVE Center? Done