Tips & Tools - Scholarship Request
Join Ms. Patricia Obrzut, M.S., O.T.R/L. for Active Learning training July 20, 21, 2017 at the Civic Center in Baraboo, WI
Scholarship funding is available for parents and service professionals who work with students who are on the Wisconsin Deafblind Registry and at a developmental level of birth to 3 years of age. Please note that funding is based on availability and applications are reviewed on a first come first serve basis. Prior participation in the scholarship/stipend program and impact of the training may also be considered. Scholarships must be submitted by June 12, 2017.
Email address *
Name *
Address *
Phone number *
Email address *
Name of child/student that you work with on the WI Deafblind registry. *
I am requesting scholarship funding for: *
Lodging: You will need to make your own reservation at the Best Western. A credit card will be required to hold the room but WDBTAP will be covering the room cost if you receive the scholarship (incidentals will be on your own). A room block under WDBTAP is available for $82 a night. Contact Best Western Baraboo Inn at (608)356-1100. Reservations will only be available until June 19th.
How will this event be helpful for the deafblind children in your care? *
What are you hoping to learn from this experience and how will you implement it? *
Would you be willing to participate in post training activity to assist in educating others? *
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