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.
Name (First Name, Last Name):
Your Current Role
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):
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:
Dyslexia in Our Schools, May 2019
Gin & Phonics, May 2019
College Planning for Students with IEPs and 504 plans, March 2019
Wasatch Reading Summit, October 2018
Dean Bragonier's Presentation, October 2018
Gin & Phonics, June 2018
Dyslexia for a Day, April 2018
Barbara Wilson's Presentation, October 2017
A PC READS Dyslexia Awareness Presentation
None of the above
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.
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 12, 2019)
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.
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.)
I agree to the following (check ALL boxes):
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 2019 - Spring 2021)
I understand that if I do not fulfill my commitment, I will be responsible for reimbursing PC READS for training costs
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