06/19/2023 How to Write Ambitious IEP Goals

Accommodations

• If you require an accommodation to participate in this event, please list it below. (We recommend at least a two week notice to ensure availability of accommodations.)

Registration Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• * Phone:
• Cell Phone:
• *

  The main reason I am attending this training is because I am:

  • Parent/Guardian/Family Member of a child with a disability
  • Educator
  • Professional - Non Educator
  • Student/Youth with Disability – Under 18
  • Adult with Disability – 18 and Over
  • Other
• * If registering as Parent, please enter your child's first and last name. (Professionals enter N/A
• * If registering as a Parent or Self Advocate, please enter the date of birth of the person with a disability. (Professionals enter N/A.)

• *

  Disability of child or adult with disability:

  • Adult with a Disability (Over 18 and out of K-12 school)
  • I am a professional that works with multiple disabilities and ages.
  • Autism (3 to 21 years-old)
  • Deaf-Blindness (3 to 21 years-old)
  • Developmental Delay (3 to 9 years-old)
  • Emotional Disturbance (3 to 21 years old)
  • Hearing Impairment (3 to 21 years-old)
  • Infant/Toddler with Disability (Birth through 2 years-old)
  • Intellectual Disability (3 to 21 years-old)
  • Multiple Disabilities (3 to 21 years-old)
  • Orthopedic Impairment (3 to 21 years-old)
  • Other Health Impaired (3 to 21 years-old)
  • Specific Learning Disability (3 to 21 years-old)
  • Speech and Language Impairment (3 to 21 years-old)
  • Traumatic Brain Injury (3 to 21 years old
  • Visual Impairment (3 to 21 years old)
  • Inappropriately Identified (3 to 21 years old)
  • Suspected Disability (All Ages)
  • 504 – ADHD (All Ages)
  • 504 – Dyslexia (All Ages)
  • 504 – Other (All Ages)
  • Gifted and Talented (3 to 21 years-old)
  • Does not apply.
• *

  As a grant requirement, we are expected to provide support and training to all individuals. Therefore our grant requires us to report the following ethnicity question. Do you consider yourself:

  • African-American
  • Asian
  • Caucasian
  • Hispanic/Latino
  • Native American/American Indian or Alaskan Native
  • Native Hawaiian/Pacific Islander
  • Two or more races
  • Other
  • I do not want to answer this question.
• *

  How did you hear about this training:

  • Exceptional Times
  • FHF Facebook
  • FHF Website
  • FHF Twitter
  • La Disability Talk
  • Another Parent
  • Someone else website or social media
  • Teacher/ School
  • Other Professional
  • TV/ Radio Station
  • Flyer
  • Other
• *

  Primary language spoken by parent:

  • English
  • Spanish
  • Vietnamese
  • French
  • Chinese
  • Other
• *

  Pleas check all that applies:

  • I am a parent with a disability.
  • I am a parent of a child under 18 and involved in the juvenile justice system.
  • I am a military parent.
  • I consider myself low-income.
  • I am a Foster Parent for children with disabilities or special healthcare needs.
  • None of the above.

If a professional, please fill out the following:

• Company:
• Job Title:
• Address 1:
• City:
• State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• ZIP Code:
• Phone: