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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:
(Required.)
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2.
Phone:
(Required.)
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3.
Mailing address (street, city, STATE AND ZIP)So we can mail your training package:
(Required.)
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4.
Email address:
(Required.)
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5.
Your role:
(Required.)
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6.
Agency/Program/School District:
(Required.)
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7.
Are you currently serving or a parent of a child with both a vision and a hearing loss?
(Required.)
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!)
(Required.)
Yes
No
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?
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!
Current Progress,
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