Register for 2013 Project SCEIs Training
Workshop Registration Form

 Directions to SCEIs Workshops


Please fill in this form and it will be electronically transmitted to the SCEIs office.  You will receive a mailed or faxed confirmation.

In order to register for a SCEIs workshop you MUST be able to answer YES to one
of these questions.  Please check the one that applies to you:

Are you employed by Babies Can't Wait? OR Are you or the agency that you work for under contract with Babies Can't Wait?
Are you the parent of an infant or toddler who is receiving services from Babies Can't Wait?
 
You may register for all of your workshops on your level:
(6 if you are a Level I personnel;5 if you are a Level II)

Level I workshops are  for those who do not hold a Bachelor's degree in an early intervention discipline. These may include: child care practitioner, EI paraprofessional, or a parent of a child in BCW. 

Level II workshops are for those who hold a Bachelor's degree in an early intervention discipline such as: Special Education or Early Childhood Education, Speech, Psychology, Nutrition, Nursing, Social Work, or Therapists (OT, PT, Audiology).

 


Note: You may only register for the Credentialing Workshop AFTER you complete all SCEIs workshops.
 
Evaluation & Assessment: 
Family Systems:
Professional Development:
Program Implementation:
Team Process:
Typical/Atypical Development:
Credentialing Workshop:
Participant's Name:
            Title/Job Responsibility: 
          Date of Hire: 
           Health District Served: 
(Mailing Address) Number & Street:
City, State:
                           Zip Code: 
                                     Telephone: 
                                     Fax:
E-mail Address:
Discipline Area: (please select one)
Level I (no degree in an early intervention discipline)
Parent  Child Care Practitioner   EI Assistant
Level II (degree in an early intervention related discipline)

Service Coordinator    E.I. Specialist     Early Interventionist

Discipline area: (Level II only -please check one)

Psychology  Nutrition   Nursing  Social Work  Therapist (OT, PT, Speech, Audiology)                    
Education (Special Ed.)  Education (Early Childhood)
I require special services and facilities (please list):                               
        
 
         If unable to send electronically, please fax completed form to 404-413-8043 ATTN: Skylar Stiff

 

 
 
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