Lansing, Michigan I-SWIS Facilitator Training Registration (March 2019)
Event Host:
MIBLSI

Event Location:
SpringHill Suites Lansing
111 S Marketplace Blvd
Lansing, MI 48917


Event Dates & Times:
* March 5, 2019 12:00 PM - 4:00 PM
* March 6, 2019 8:00 AM - 3:30 PM (lunch only)


Training Fee:
Free to partnering ISD/Districts, $30.00 for non-partnering ISD/Districts (Macomb ISD/MIBLSI will invoice according to billing information provided in Step 2 of the registration process). Any questions related to billing may be directed to Candace Gajdos-Drake (cdrake@miblsimtss.org).

Note: To receive certification, full attendance and participation in this 1.5 day training as well as completion of independent pre- and post- activities are required.

Participant Screening Questionnaire
NOTE: Completion of this screening registration form MUST be done by the person who will be attending this training. The answers provided assist trainers in meeting the professional and educational needs of the training participants.
Please verify that you are the person who will attend the training. *
If you are NOT the person attending the training, please do not complete this form.
Required
Participant First Name *
Your answer
Participant Last Name *
Your answer
Preferred Email Address *
Your answer
Employer/Organization Name *
Your answer
Preferred Mailing Address *
Street, City, State, Zip
Your answer
Phone Number *
Your answer
If you are in need of individualized accommodations (i.e., accessibility, dietary needs, etc.) please note them below.
Your answer
Are you currently a certified facilitator for SWIS, CICO-SWIS, or I-SWIS? *
Required
Please rate your knowledge and/or experience regarding implementation of tier II and tier III support systems within a multi-tiered system of support. *
Consider your understanding of basic behavioral theory, behavioral assessments, intervention/support planning, etc.
I have no knowledge and/or experience with tiers II and III.
I am very knowledgeable about tiers II and III and have been assisting schools with implementation.
My employer has formally allocated time for my position to perform the duties associated with I-SWIS facilitation. *
Duties include (a) helping sites establish student specific support teams for tier III supports, (b) coaching student specific support teams to use I-SWIS data for decision making, and (c) expand the use of I-SWIS to other teams and sites within my district.
How would you best describe your professional role? *
If you answered "Other" to the previous question, how would you best describe your position?
Your answer
What is your main purpose for attending an I-SWIS facilitator certification event? *
If you answered "Other" to the previous question, how would you best describe your purpose?
Your answer
Within 6-9 months of being certified, how many schools/facilities do you plan to (a) implement I-SWIS with or (b) take over I-SWIS facilitator duties for? *
I-SWIS Facilitator Responsibilities
As an I-SWIS facilitator, I will be able to meet with schools/facilities beginning I-SWIS usage at least 5 times throughout the year to (a) determine site readiness, (b) train users, and (c) meet with teams to build fluency in using data for decision making. *
As an I-SWIS facilitator, I will be able to meet with schools/facilities which have used I-SWIS for 2+ years at least 2 times throughout the year to (a) help maintain site readiness, (b) train new users, and (c) provide coaching and support for data-based decision making. *
Training Event Attendance
I will complete all pre- and post-training activities and attend all 1.5 days of the I-SWIS facilitator training. I understand that my full attendance and participation is required for certification. *
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