PC READS Advocate Program Application
Applications will be reviewed on a rolling basis through October 2, 2017. This program is supported by a grant from the Park City Community Foundation.
I am a: (check all that apply)
Parent of a child/children with dyslexia
Parent of a child/children with other learning disabilities
K-12 Special Education Teacher
K-12 General Ed Teacher
Attorney or Advocate
Job Title (if currently employed):
Please list your educational background (name of institution, degrees earned and area of study):
Please select all events below that you have attended:
PC READS Dyslexia Awareness Presentation to MOPS, April 2017
PC READS Dyslexia Awareness Presentation at Trailside Elementary School, March 2017
Learning Ally's Spotlight on Dyslexia Conference, December 2016
PC READS Dyslexia Awareness Presentation at McPolin Elementary School, November 2016
Wasatch Reading Summit, October 2016
Dyslexia for a Day, April 2016
Dislecksia: The Movie, October 2015
None of the above
List any training, professional development or experience with dyslexia that is not covered in the above question:
Describe any experience you have working with children or adults with learning disabilities: (250-500 words)
Why are you interested in becoming a Certified Dyslexia Advocate for PC READS? (250 - 500 words)
I agree to the following:
I have read and understand the PC READS Advocate Program Description, including training and work expectations
I have read and understand the requirements of The Dyslexia Training Institute's Dyslexia Advocate Certificate Program
If selected, I will immediately submit my application for the Dyslexia Advocate Certificate Program
If selected, I understand this is a 2 year commitment (Fall 2017 - Spring 2019)
I understand that if I do not fulfill my commitment, I will be responsible for reimbursing PC READS for training costs
If selected to become a PC READS Advocate:
I have already completed the prerequisite course, What is Dyslexia? An In-depth Look
I plan to take the prerequisite course, What is Dyslexia? An In-depth Look (This course begins on August 7th, 2017)
I plan to "test out" of the prerequisite course after reading the required text, "Overcoming Dyslexia: A New and Complete Science-Based Program for Reading Problems at Any Level, Sally Shaywitz, M.D.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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