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Provider Listing Request to be Listed
Resource listing for Missouri Certified Teachers of the Visually Impaired and/or Certified Orientation and Mobility Specialist.
1.
I am currently Missouri certificated in the education of students with visual impairments.
Yes
No
2.
I am interested in having my name included on a listing of personnel available to provide vision education services.
Yes
No
3.
I am currently a Certified Orientation and Mobility Specialist.
Yes
No
4.
I am interested in having my name included on a listing of personnel available to provide orientation and mobility services.
Yes
No
5.
I am CVI endorsed, CATIS, or other relevant certification and would like that credential listed. Please indicate credential/endorsee agency.
6.
If interested in being included on the provider listing located on the Outreach website, please include the information below:
Name:
Location/County in Missouri:
E-mail:
Phone number:
Date:
For further questions, reach out to Jane Herder at jane.herder@msb.dese.mo.gov or 314.633.1582
