2019-2020 PC READS Advocate Program - Application to become an Advocate
Applications will be reviewed on a rolling basis through September 20, 2019. During the review process, applications may be asked to meet for an interview. This program is supported by a grant from the Park City Community Foundation.
Contact Information
Name (First Name, Last Name): *
Email Address *
Phone Number: *
Address: *
City: *
State: *
Zip Code: *
Your Current Role
I am a: (check all that apply)
Job Title (if currently employed):
Your Background & Experience
Please list your educational background (name of institution, degrees earned and area of study): *
Please select all events below that you have attended: *
Required
List any training, professional development or experience with dyslexia (or struggling readers) that is not covered in the above question:
Describe any experience you have working with children or adults with learning disabilities: (250-500 words)
Are you fluent in any languages other than English? Please list below.
Interest & Prerequisites
Why are you interested in becoming a Certified Dyslexia Advocate for PC READS? (250 - 500 words) *
Prior to starting "The Dyslexia Advocate Certificate Program, " it is necessary to either complete the course, "What is Dyslexia: An In-Depth Look" or to test out of this course. Please tell us how you plan to complete this requirement. *
Ability to Attend Training
If selected to become a PC READS Advocate, I am able to attend the Wasatch Reading Conference on October 28th & 29th, 2019 (This is not a requirement; however, PC READS will cover the conference fee if you attend).
If selected to become a PC READS Advocate, I am able to attend the WrightsLaw Seminar, "Special Education Law and Advocacy Training," on April 23, 2020. This program will be held in Park City from 8am - 4pm. (This is not a requirement; however, PC READS will cover the program fee.)
Agreements
I agree to the following (check ALL boxes): *
Required
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