MC Professional Training Event Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hello! Thank you for your interest in working with Mission Cognition to meet your organizations professional development needs. We love what we do and are always welcome and appreciative of the opportunity to share and disseminate information regarding sticking with science, while thinking outside the box to effectively and ethically support the development of social behaviors and skills.

Please note that Mission Cognition is not a CE/CEU provider. It is the sole responsibility of the requesting/host organization to make decisions regarding eligibility for attendee CE's aligned with their respective governing body's requirements.

Should you like to move forward with discussing and planning a professional development event for your team, please kindly complete and submit the below form. Information obtained here will be discussed in more detail during a follow up call. Mission Cognition will follow up upon receipt and review of the completed form to assist with the scheduling of that call.

Thank you again for your interest and your prioritization of ethical, effective and naturalistic instruction for disabled and non disabled learners.

Ashley & Team MC

Date *

YYYY

Point of Contact (Requester) Name *

Point of Contact Email *

Point of Contact Phone Number *

Requesting Organization *

School District

Agency / Clinic / Center

Parent Group

other

Name of Organization *

Preferred Date / Time of Event *

YYYY

Delivery Model *

In person (travel & lodging fees may apply)

Zoom/ Video Conferencing Platform

Length of Presentation/Training *

1 hour presentation (virtual, in state or conference events only)

2 hour presentation (virtual, in state, or conference events only)

1/2 day workshop (3.5hrs)

Two 1/2 days

One full day (6hrs) (in person only)

Two full days (in person only)

Other:

Number of Anticipated Attendees *

Topic Selection (check all relevant- will narrow down if needed, during follow up call) *

Assessing Play & Social behaviors

Running Social Skills Groups (not eligible for 1 hr training)

Embedded Discrete Trials / Natural Environment Teaching / No Demand Play Invitation

Increasing Social Motivation & Developing / expanding play repertoire

Play / Social Skills Goal Selection & Goal Writing Framework

Play / Social Skills Data Collection & Progress Monitoring

Social Activity Selection & Lesson Planning

Skill Deficit & Unmet needs framework for decreasing challenging behavior

other

Required

Briefly describe the audience (roles/titles/skill sets/needs/interests) along with a statement of your priority skill set to be targeted for development *

How did you hear about us? *

personal / professional referral

social media

direct website

other

Additional information you'd like to share with our team

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms