Choose the level training you wish to take:

What is the date and location of the training you wish to take?

I will be paying the deposit of 1/2 the tuition by

College and highest degree(s) earned with date

Current teaching assignment if any:

Please summarize briefly  previous teaching experience ( if any) 

Please list any previous Orton-Gillingham related training ( Spire/Wilson): 

Please share your reasons for taking this training:

I understand that a deposit of 1/2 tuition is required to reserve my space in the training.  In the event that I need to withdraw from the training within three weeks of the beginning of the course, I am aware that the course deposit maybe non refundable.   I also understand that a practicum follows the coursework to attain certification, and that the practicum incurs separate fees not included with the coursework tuition.