AT Certificate Course - Pre-Registration
Fall Course starts October 1, 2021.
Email *
Name of Participant *
Please register each participant separately. List "Attendee 1" if unknown at this time.
Title / Role of Participant *
What will be the participant's role when they finish the training?
Email Address of Participant *
Cell Phone Number of Participant (in case of emergency) *
School District / Agency *
Name of Billing Contact or Supervisor at School District *
Email Address of Billing Contact or Supervisor at School District *
Registering for: *
I understand that this course covers most areas of assistive technology but does not cover AAC (Augmentative-Alternative Communication.) *
A copy of your responses will be emailed to the address you provided.
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