A National Leader in Inclusive Urban Education

Institute on Communication and Inclusion

Communication is More Than Speech: Building Inclusion Through Typing
Sheraton Columbia Town Center Hotel, Columbia MD
July 26-28, 2016

Step 1 - Registration

Participant Information

* denotes required fields

Leave this field empty
Registrant Name*
(typer if applicable)
Support Person (if any)
Family/Team/Group Member 1
Family/Team/Group Member 2
Family/Team/Group Member 3
Family/Team/Group Member 4
Family/Team/Group Member 5
   
Mailing Address *
Mailing Address 2
City*
State*
Zip*
Country*
Telephone*
Email*
   
Special Access needs:
   
Are you/the person you support currently typing to communicate?*
   
Fee

Payment Options:

Pay by Credit Card online (complete form in step 2, next page)
Pay by check
Invoice school district: Address/Attn

Typer Profile
If you are a typer, or are attending with a typer, please provide the following information:
   
How long have you been using typing to communicate?
How frequently do you type to communicate?
At what level do you currently receive support to type (i.e. at the forearm, elbow, independent)?
   

We are offering morning workshops with groupings based on:

  • How long you've been working with the support person with whom you're attending
  • Your frequency of use across multiple contexts (home, school, community)
  • Current level of physical support (less to more physical support)
   
Describe any training you have received, including when and where (e.g. ICI Introductory Workshop, 2015)?
   
Is there anything else you wish to share with the conference team?

 

Who should we contact for more information?
Name*
Phone*
Email*
   

For more information, contact

Dani Weinstein
Institute on Communication and Inclusion.
370 Huntington Hall
Syracuse University
Syracuse, NY 13244
315-443-9379 (phone)
315-443-2274 (fax)
icistaff@syr.edu (email)