|
If you are interested in applying for the Project VIISA course, complete this application and submit by October 27, 2017. The course is limited to 15 participants. You will be notified by October 30, 2017, if you are selected to participate.Name: .Home Phone: Work Phone: Cell Phone: Address: Email Address:Name of Graduated College or University: Degrees Received and Areas of Specialization: Certification: Other Training: Have you completed other vision coursework in Missouri? Which courses? Current Position: Agency/Program/School District: Address: Current Work Responsibilities:Are you currently serving a child with a visual impairment?If so, how many? .In what type of setting? Click here to enter text.What ages? .Why are you interested in this course? Can you attend the course, which will be offered by the Missouri School for the Blind in St. Louis on November and March (total of 4 whole and 2 half days)?Will you complete the five home study assignment packets and readings as scheduled?Please identify any needed access accommodations (e.g., interpreter, Braille, large print):Do you feel you have enough information to commit to the VIISA courses? |
