Registration Form: Fingerspelling Our Way to Reading (June 8-10, 2021)

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Registration Deadline: May 15, 2021

Please select the Nebraska Regional Program with which you are affiliated *

CWNP (Central Western Nebraska)

MRP (Metro Nebraska)

NERP (Northeast Nebraska)

SNRP (Southeast Nebraska)

I am not sure

I am a college student in a deaf education or interpreter training program

First Name *

Last Name *

Email Address *

Please use an email address that is checked often as a confirmation email with the Zoom link(s) will be sent to registered participants in late May or early June.

Certificate of Attendance - Clock Hours

Participants will be awarded a certificate of attendance (with 8 clock-hour credits in the "other" category) for participating in both parts of the training.

This virtual training consists of two parts (it is required to attend both parts). Please select the time you would prefer to participate in Part I of the training: *

Tuesday, June 8th (9:00 am - 1:00 pm CT)

Tuesday, June 8th (1:00 pm - 5:00 pm CT)

This training is limited to 20 participants per session. In order to allow for maximum participation, are you flexible with the time you selected to participate in Part I of the training? *

Yes

Other:

Please select the date/time you would prefer to participate in Part II of the training: *

Wednesday, June 9th (1:00 pm - 5:00 pm CT)

Thursday, June 10th (9:00 am - 1:00 pm CT)

This training is limited to 20 participants per session. In order to allow for maximum participation, are you flexible with the date/time you selected to participate in Part II of the training? *

Yes

Other:

Nebraska School District or ESU with which you are employed *

Type N/A if not currently employed by a Nebraska school district or ESU. Please note, since space is limited, priority registration will be given to staff who are currently employed by a Nebraska school district or ESU and working with Nebraska students who are Deaf or Hard of Hearing.

Educational Role *

I am a deaf educator employed in a Nebraska K-12 school district or ESU

I am an interpreter employed in a Nebraska K-12 school district or ESU

I am a college student in an interpreter training or deaf education program

Other:

What age group of students do you primarily serve? *

Address *

City *

State *

Zip Code *

Best Contact Phone Number *

Alternate Contact Phone Number

Accommodations Needed *

Please be sure to note here if you need an accommodation. Additionally, for maximum benefit, participants should plan on using a computer or tablet for workshop participation (a smart phone will not suffice). If you are employed by a Nebraska K-12 school district or ESU and you do not have access to a computer or tablet, please note that here and a regional coordinator will be in contact with you.

This training will be presented virtually via Zoom

If needed, zoom support tools, such as a walk through or videos, can be sent to you. A trial run may also be setup to ensure everyone can get logged in and to troubleshoot any issues.

Please rate your level of Zoom experience: *

I am experienced at using Zoom. I can join a meeting, mute myself, use the chat, and can navigate around Zoom comfortably.

I am newer to using Zoom. I have a little knowledge but could use some support.

I rarely/never use Zoom. I will need support.

Please contact your regional program coordinator with any further questions:

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