2023-2024 RPDA Workshop Online Registration 10/17/23 Fowler - ADHD-What It Is. What It Isn't. Executive Function Strategies to Know and Use

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No Charge for Collaborative District Members.

Payment policy for Non-Collaborative District Members is $100 per person (non-refundable). Purchase Orders or Checks must be received before the date of the seminar. Make Purchase Orders and Checks payable to: “Regional Professional Development Academy” and mail to: RPDA, c/o Little Egg Harbor BOE, 307 Frog Pond Road, Little Egg Harbor, NJ 08087.

Please visit our website at: www.rpdacademy.org then access "Workshops & Training" menu, then click on title of workshop for the details.

IMPORTANT: ONCE YOU SUBMIT YOUR REGISTRATION ONLINE, YOUR RESPONSE HAS BEEN RECORDED. YOU WILL RECEIVE A COPY OF YOUR RESPONSES TO THE EMAIL ADDRESS YOU PROVIDED WHILE COMPLETING THIS FORM. PLEASE PRINT THIS OUT. THERE WILL BE NO ADDITIONAL CONFIRMATIONS.

WORKSHOP HOURS:
8:30 am Sign-In and Coffee
9:00 am - 1:00 pm Seminar presentation (Lunch will not be provided)

LOCATION:
Monmouth Mall, Lower Level 180 Route 35 (Routes 35 & 36) Eatontown, NJ 07724
For directions to the Mall, access the Directions Tab on our website at: www.rpdacademy.org

Any questions, please email info@rpdacademy.org

HANDOUT NOTE: PRESENTERS ARE MAKING THEIR HANDOUTS AVAILABLE ON OUR WEBSITE PRIOR TO THE WORKSHOP. PLEASE GO TO THE MENU WORKSHOPS & TRAINING AND CLICK ON “HANDOUTS” TO DOWNLOAD. * IF YOU DO NOT SEE A WOKSHOP'S HANDOUT LISTED BY DATE, THE PRESENTER WILL MAKE THESE AVAILABLE DURING THE PRESENTATION.

Email *

Last Name *

First Name *

Workshop you want to attend - Please check box below. *

10/17 - Fowler - ADHD What It Is. What It Isn't. Executive Function Strategies to Know and Use

Required

District Name *

Name of Private or Non-Public School (ONLY if not public school district)

Work Email Address *

Work Phone Number *

Please be sure to enter your full 10 digit phone number and extension. Please use 732-111-1111 x 123 format

Area of Expertise *

Please check all that apply.

General Education Teacher

Special Education Teacher

Paraprofessional

CST

Nurse

Guidance Counselor

Occupational Therapist

Physical Therapist

Speech Therapist

Administrator

BCBA

Parent

Required

Grade Level *

If you work in a specific grade level, please choose from the options below. Check all that apply.

Preschool

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

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Ninth Grade

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Eleventh Grade

Twelfth Grade

Other:

Required

Home / Cell Phone *

This information is only used if we need to contact you in the case of an emergency cancellation. Please enter your full 10 digit number and use a 732-111-1111 format.

Home Email Address *

This information is only used if we need to contact you in case of an emergency cancellation.

A copy of your responses will be emailed to the address you provided.

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