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Conference just for ESP members Registration Form – A member-only benefit Building Respect Through Knowledge September 15, 2012 from 8:00am - 4:15pm In the beautiful Dover Downs Conference Center, Dover, DE NEA VP Lily Eskelsen, who began her education career as a paraprofessional, will be our guest. A favorite of audi- ences everywhere, she is even on YouTube: http://www.youtube.com/ watch?v=2kWp3iWa5nA. Register today for ESP Sept. 15 Conference! Register for our annual ESP Conference online at www.regonline.com/ dsea- esp-2012 after July 31, or complete the registration form here and send it in as indicat- ed Day's schedule includes workshops and networking 8-8:45am Registration and Continental Breakfast 8:45-9:15 Keynote speakers: Colonial's Joan Robinson, ESP of the Year; and NEA VP Lily Eskelsen 9:15-10:15 Political issues discus- sion 10:15-10:30 BREAK 10:30-noon Rotating sessions – Developing Effective Building Liaisons; Bringing Role-Specific Professional Development to your School District; and Building Respect in your District Noon – 1pm Lunch with legisla- tors 1:15 to 4:15pm Choose one of these Sessions for the afternoon Sessions are so good, you'll want to bring several col- leagues so you can share notes! www.dsea.org PERSONAL INFORMATION Name: _____________________________________ Local Association: ______________________ Name to Appear on Nametag (first and last): _____________________________________________ Home Address: _________________________________,_________________,_____ ____________ (Street) (City) (ST) (Zip) Home phone: __________________________ Cell phone: ______________________________ E-mail Address:____________________________________________________________ TRAINING PROGRAM INFORMATION Please select which of the six three-hour sessions you would like to attend in the afternoon by placing a "1" beside your first preference and a "2" beside your second choice. ___ IEP's, Collecting Data and Behavior Plans ___ Working with Children with Autism and Other Disabilities ___ Identity Theft (not eligible for clock hours) ___ Records Retention ___ Creating Results-Oriented Job Descriptions ___ Staff Effectiveness Training There are several ways to register: • Return this completed registration form by mail to DSEA at 136 E. Water Street, Dover, DE 19901. • Send e-mail with all of the above information to Betty.Cash@DSEA.org . • Fax your registration information to Betty at (302) 674-8499. • Register online after July 31 at www.regonline.com/dsea-esp-2012 Deadline for registration is September 5! CANCELLATION POLICY Since we have to guarantee attendance with Dover Downs, we have to guarantee all meal costs. If you are forced to cancel, please notify Betty Cash by September 10. If you cancel after September 10, she will bill you a $15 cancellation fee, per DSEA policy. • Special Education 101: IEP's, Collecting Data, and Behavior Plans - Nicole Markey, Educational Diagnostician, Colonial School District (qualifies for clock hours) • Working with Children with Autism and Other Disabilities: Michelle Flanders, Associate Principal, Capital School District (qualifies for clock hours) • Records Management Workshop - Gail Ralph, Information Resource Specialist II, Delaware Public Archives (qualifies for clock hours) • Creating Results-Oriented Job Descriptions: Evan Esslinger, NEA's ESP Quality Unit (qualifies for clock hours) • Staff Effectiveness Training: Kathy Falasco, Capital School District (qualifies for clock hours) • Take Charge of Your Good Name, Don't Be a Victim! – Tammy Wagner, DSEA Member Benefits coordinator, and Kim Lindsey, NEA Member Benefits (does not qualify for clock hours) September 2012 DSEA ACTION! 7