The Florida Department of Education in Partnership with



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The Florida Department of Education (DOE) in collaboration with

The Partnership for Effective Programs for Students with Autism (PEPSA)

and

The Center for Autism and Related Disabilities (CARD)

presents

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July 17 – 20, 2006

8:30 a.m. – 4:15 p.m.

Registration each day 8:00 - 8:30 a.m.

Comfort Inn Conference Center, Busch Gardens

820 East Busch Boulevard

Tampa, Florida 33612

(813) 933-4011

Directions to Location: Exit I -275 at the Busch Boulevard exit # 50

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Registration Information

Complete the registration form and submit no later than May 12, 2006 to:

Tanisha Dobney

Email: tclarke@fmhi.usf.edu

FAX: 813-974-6115

Mail: USF CARD ▪ 13301 Bruce B. Downs Blvd. MHC 2113A ▪ Tampa, FL 33612

5th Annual Autism Summer Institute Registration Form

July 17-20, 2006

Comfort Inn Conference Center Busch Gardens

820 East Busch Boulevard

Tampa, Florida 33612

(813) 933-4011

Agenda at a Glance

|REGISTRATION EACH DAY 8:00-8:30 |

|Monday, July 17, 2006……….. |Keynote by Dr. Rose Iovannone on ABA in the Classroom |

|Tuesday, July 18, 2006……….. |a.m. Keynote by Julie Weatherly, Esq. on IDEA 2004 |

| |p.m. Keynote by Rebecca Klaw, MS, M.Ed. on Data Collection |

| |p.m. (Administrators Only) – Julie Weatherly, Esq. on Legal Issues |

|Wednesday, July 19, 2006……. |a.m. Break Out Sessions |

| |p.m. Break Out Sessions |

|Thursday, July 20, 2006………. |a.m. Break Out Sessions |

| |p.m. Closing Keynote Address by Mary Jo Caruso, M.Ed. on Building Communities |

Breakout Session topics: Mediation and Conflict, Building Community, Social Stories, Student Profile Binder, Work Systems, Asperger Syndrome, Literacy, Positive Educational Planning, Sensory Challenges, Teacher/Family Collaboration, Transition Services, Data Collection, Goals and Objectives

No Acronyms Please! Registrant Information No Acronyms Please!

|Name |      |Work Phone |(     )     -      |

|School Name |      |FAX |(     )     -      |

|or Employer | | | |

|City |      |Home Phone |(     )     -      |

|County |      |Email |      |

|Are you Out-of-Field? Yes No |

|*Out-of-Field refers to a teacher in a district school system assigned to teach outside the area in which he or she was certified. |

Please use the legend below to complete the following information:

|Job Title |      |

|School Type: |      |Class Type: |      |Certification: |      |

|Legend |

|Job title: | | | | |

|Elementary Teacher (K-5) |Family Member |Other School Professionals |Project Staff |Bus Driver/Aide |

|Middle School Teacher (6-8) |Paraprofessional |Behavior Specialist |Other Agency Staff |Substitute |

|High School Teacher (9-12) |Therapist (OT/ PT/ SLP) |Social Worker |Undergraduate Student |Private Consultant |

|Multi-level Teacher (EL, MS, HS) |ESOL Teacher |Psychologist |Graduate Student |DOE Staff |

|Itinerant Teacher (K-12) |Title 1 Teacher |Counselor |In State Col./ Univ. Staff |Preservice Teacher |

|PreKindergarten Teacher |District Program Staff |Nurse |Out of State Col./ Univ. Staff | |

|Student (PK-12) |Principal/Assistant Principal |FDLRS Staff |Other School Support | |

|sCHOOL tYPE: |Class Type: |Certification: | | |

|Private |General Education |General Education | | |

|Charter |ESE, NOT Autism |Varying Exceptionalities | | |

|Public |Autism |Other ESE | | |

|N/A |N/A |Not Certified | | |

| | |N/A | | |

Return registration form no later than May 12, 2006 to:

Tanisha Dobney

Email: tclarke@fmhi.usf.edu

FAX: 813-974-6115

Mail: USF CARD ▪ 13301 Bruce B. Downs Blvd. MHC 2113A ▪ Tampa, FL 33612

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The goal of this Summer Institute is to provide guidance to teachers, speech therapists, parents, administrators, and paraprofessionals on current best practices in teaching students with autism spectrum disorders. The Summer Institute will include sessions for those who are new to the field as well as more experienced individuals who desire additional information on research, innovations, and the provision of effective programs to students with autism.

Participants should commit to attend all four days of the institute. A maximum of 24 inservice points can be earned. Seating is limited so register early.

For more information contact: Tanisha Dobney at USF CARD ~ Ph: 813-974-3126 ~ Email: tclarke@fmhi.usf.edu

FREE

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FREE

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