Hand in Hand Training Registration

Fall 2023

Session 1: September 20-22, 2023

Session 2: October 4-6, 2023

Registration deadline: August 20, 2023.

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* 1. Name (First & Last):

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* 2. Email address:

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

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* 4. Phone:

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* 5. Agency/Program/School District:

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* 6. Your role, position, or job title:

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* 7. Are you currently serving a learner with duel sensory (hearing and visual) impairments?

Yes

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 a caregiver for a child with both visual and hearing impairments?

Yes

If yes, please describe the nature of the child's hearing and visual abilities.

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* 9. I understand that Session I is virtual and Session II is in person at Missouri School for the Blind. Additionally, I understand that both sessions are required for successful completion of the training.

Yes

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* 10. Do you have any known conflicts with any of the training dates?

Yes

If yes, please elaborate:

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* 11. What is one thing you hope to learn from participating in Hand in Hand?

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* 12. Are you interested in receiving CEUs or College Credit for this training?

College Credit

AER/ACVREP

Other (please specify)

None of the above

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* 13. Lunch will be provided for all full-day sessions. Do you have any food allergies or dietary needs?

Yes

If yes, please describe your dietary needs (i.e. peanut free, gluten free, etc.)

ADA Related Accommodations
If you would like to request accommodations under the Americans with Disabilities Act (ADA/ADAA) please email the training coordinator, Natasha Baebler, at natasha.baebler@msb.dese.mo.gov with the subject line "Hand in Hand ADA Request". In order for accommodations to be in place for the first day of training, requests should be received by the registration deadline. After this date, reasonable attempts will be made, but can not be guaranteed.