Hand in Hand Conference Application

SPRING 2022 VIRTUAL

Session 1: March 9-11, 2022

Session 2: April 27-29, 2022

Registration deadline is February 25/We may have a wait list!

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* 1. Name:

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* 2. Phone:

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* 3. Mailing address (street, city, STATE AND ZIP)So we can mail your training package:

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* 4. Email address:

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* 5. Your role:

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* 6. Agency/Program/School District:

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* 7. Are you currently serving or a parent of a child with both a vision and a hearing loss?

Yes

No

If yes, please provide brief description of what you know about that child's vision and hearing etiology/status.

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* 8. Are you able to make the commitment to attend both sessions: March 9-11, 2022 and April 27-29, 2022? (Camera on/engaged!)

Yes

No

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* 9. What is your big question(s), if any, do you have about your child/student with dual sensory loss that you want answered in HIH?

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* 10. Please let us know of any ADA accommodations (i.e. language interpretation, reading medium, etc):

Conference is provided free of charge! ACVREP credits available!