1. No category

BOL2015.indd 1
1/13/15 10:07 AM
Open to learn more!
2
TRAINING OF TRAINERS INSTITUTE
August 5–7, 2015 | Philadelphia, PA
&
NEW
Your first opportunity to receive
2!
training on the NEW
Don’t miss out!
P.O. Box 10624
Baltimore, MD 21285-0624
Brookes Publishing Co.
NEW
PRSRT STD
U.S. POSTAGE
P A I D
B R O O K E S
PUBLISHING
2!
Your first opportunity to receive training on the NEW
EARLY BIRD REGISTRATION DISCOUNT:
Register by April 30, 2015, to get $50 off registration!
Discount does not apply to group registrations of 4+ people.
WHAT YOU’LL LEARN
Take your ASQ knowledge to the next level with this in-depth, step-by-step seminar—everything you
need to know for instructing your colleagues in using Ages & Stages Questionnaires®, Third Edition
(ASQ-3™), and the NEW Ages & Stages Questionnaires®: Social-Emotional, Second Edition
(ASQ:SE-2™) to screen infants and young children. This thorough seminar shows you how to
NEW
2
&
TRAINING OF TRAINERS
INSTITUTE
August 5—7, 2015
Philadelphia, Pennsylvania
•
•
•
•
implement ASQ-3™ and ASQ:SE-2™ effectively • score questionnaires and interpret results
identify developmental warning signs
• discuss results sensitively with families
understand the referral process • work with families from diverse cultural backgrounds
teach others within your organization how to successfully use ASQ-3™ and ASQ:SE-2™
While at the Institute, you’ll receive instruction from ASQ experts, practice forms, case studies, and a binder
with handouts for conducting trainings within your organization. Upon your successful completion of the
Institute, a certificate of attendance and a USB flash drive of training materials will be sent by mail.
WHO SHOULD ATTEND
The Institute is designed for intermediate to advanced ASQ users who already oversee ASQ implementation
and training within their organization; participants will leave the Institute prepared to instruct colleagues
on ASQ-3™ and/or ASQ:SE-2™. However, new ASQ users also may find the Institute beneficial to their
understanding and implementation of ASQ-3™ and/or ASQ:SE-2™. All participants will receive valuable
information to advance their skill level and knowledge of the tools.
DoubleTree by Hilton®
Philadelphia Center City
2½-DAY SEMINAR
Wednesday, August 5
8:30 a.m.—4:30 p.m.
INSTRUCTORS
Thursday, August 6
8:30 a.m.—4:30 p.m.
Friday, August 7*
8:30 a.m.—2:00 p.m.
*includes a bonus session on ASQ Online
Full attendance is required for
successful completion of the Institute.
Please plan your travel accordingly.
JANTINA CLIFFORD,
PH.D., is Assistant
Professor in the Early
Intervention Program
at the University of
Oregon’s College of
Education. Jantina has been active in
the research and development of both
ASQ and ASQ:SE, as well as SEAM.
She brings expertise from her 8 years
as an early childhood educator to the
professional development experience.
ELIZABETH
TWOMBLY, M.S.,
is Adjunct Instructor,
Special Education and
Clinical Sciences, at the
University of Oregon’s
College of Education. Liz has been
involved in the ASQ project for over 10
years, most currently as a senior research
assistant in the development of ASQ:SE.
SUE YOCKELSON,
PH.D., is Assistant
Professor of Special
Education at Brandman
University. Sue received
her degree from the
University of Oregon Early Intervention
Program and has a background in
education for typically and atypically
developing children. Sue provides
instruction on developmental screening of
young children using ASQ.
BOL2015.indd 1
1/13/15 10:07 AM
Brookes Publishing Co.
NEW
2
P.O. Box 10624
Baltimore, MD 21285-0624
Don’t miss out!
Your first opportunity to receive
2!
training on the NEW
&
TRAINING OF TRAINERS INSTITUTE
August 5–7, 2015 | Philadelphia, PA
Open to learn more!
NEW
PRSRT STD
U.S. POSTAGE
P A I D
B R O O K E S
PUBLISHING
Your first opportunity to receive training on the NEW
2!
EARLY BIRD REGISTRATION DISCOUNT:
Register by April 30, 2015, to get $50 off registration!
Discount does not apply to group registrations of 4+ people.
WHAT YOU’LL LEARN
Take your ASQ knowledge to the next level with this in-depth, step-by-step seminar—everything you
need to know for instructing your colleagues in using Ages & Stages Questionnaires®, Third Edition
(ASQ-3™), and the NEW Ages & Stages Questionnaires®: Social-Emotional, Second Edition
(ASQ:SE-2™) to screen infants and young children. This thorough seminar shows you how to
NEW
2
&
TRAINING OF TRAINERS
INSTITUTE
August 5—7, 2015
Philadelphia, Pennsylvania
DoubleTree by Hilton®
Philadelphia Center City
2½-DAY SEMINAR
Wednesday, August 5
8:30 a.m.—4:30 p.m.
Thursday, August 6
8:30 a.m.—4:30 p.m.
Friday, August 7*
8:30 a.m.—2:00 p.m.
*includes a bonus session on ASQ Online
Full attendance is required for
successful completion of the Institute.
Please plan your travel accordingly.
•
•
•
•
implement ASQ-3™ and ASQ:SE-2™ effectively • score questionnaires and interpret results
identify developmental warning signs
• discuss results sensitively with families
understand the referral process • work with families from diverse cultural backgrounds
teach others within your organization how to successfully use ASQ-3™ and ASQ:SE-2™
While at the Institute, you’ll receive instruction from ASQ experts, practice forms, case studies, and a binder
with handouts for conducting trainings within your organization. Upon your successful completion of the
Institute, a certificate of attendance and a USB flash drive of training materials will be sent by mail.
WHO SHOULD ATTEND
The Institute is designed for intermediate to advanced ASQ users who already oversee ASQ implementation
and training within their organization; participants will leave the Institute prepared to instruct colleagues
on ASQ-3™ and/or ASQ:SE-2™. However, new ASQ users also may find the Institute beneficial to their
understanding and implementation of ASQ-3™ and/or ASQ:SE-2™. All participants will receive valuable
information to advance their skill level and knowledge of the tools.
INSTRUCTORS
JANTINA CLIFFORD,
PH.D., is Assistant
Professor in the Early
Intervention Program
at the University of
Oregon’s College of
Education. Jantina has been active in
the research and development of both
ASQ and ASQ:SE, as well as SEAM.
She brings expertise from her 8 years
as an early childhood educator to the
professional development experience.
ELIZABETH
TWOMBLY, M.S.,
is Adjunct Instructor,
Special Education and
Clinical Sciences, at the
University of Oregon’s
College of Education. Liz has been
involved in the ASQ project for over 10
years, most currently as a senior research
assistant in the development of ASQ:SE.
SUE YOCKELSON,
PH.D., is Assistant
Professor of Special
Education at Brandman
University. Sue received
her degree from the
University of Oregon Early Intervention
Program and has a background in
education for typically and atypically
developing children. Sue provides
instruction on developmental screening of
young children using ASQ.
Registration is open until July 14, 2015, or until we reach capacity.*
Demand is high and seating is limited; register early to ensure your space.
We cannot guarantee that seating will be available through the registration deadline of July 14, 2015.
Payment must accompany your registration form; we are not able to hold your space without purchase
order or payment. On-site registration at the Institute is not available.
BONUS SESSION!
*We do not recommend that you book non-refundable flights or hotel reservations until you receive confirmation of your Institute registration.
IMPORTANT NOTE: MATERIALS ARE REQUIRED: Participants
must bring the ASQ-3™ User’s Guide to the Institute.
Participants should pre-order a copy of the ASQ:SE-2™ User’s
Guide, which is scheduled for publication in August 2015. Selected
portions of the ASQ:SE-2™ User’s Guide that are needed for
the Institute will be provided with your training materials; however,
participants are required to purchase a copy of the ASQ:SE-2™
User’s Guide to ensure they have the necessary information for
implementation of ASQ:SE-2™.
Participants from the same program may share Guides. Please
purchase your Guides from Brookes Publishing and bring to the
Institute. A pre-Institute discount of 20% will be provided with your
registration confirmation. Order by phone at 1-800-638-3775 or
online at www.brookespublishing.com. For U.S. customers, orders
MUST be received by 4:00 p.m. EST on July 10, 2015; otherwise
RUSH shipping charges may apply. For outside the U.S., including
Canada, orders MUST be received by 4:00 p.m. EST on June 19,
2015 (international RUSH shipping may be required).
MATERIALS PROVIDED: While at the Institute, participants will
receive practice forms, case studies, and handouts. For those
participants who successfully complete the Institute, a certificate of
attendance as well as a USB flash drive of training materials will be
sent by mail. Please note: The USB flash drive of training materials
will not be available at the Institute.
PRODUCT DISCOUNTS: After registering for the Institute, participants
will receive an email confirmation which will include a 20% discount
code valid for purchases of ASQ materials made prior to the Institute.
Please allow one week after submitting your registration to receive
your confirmation email with the discount code. While at the Institute,
participants will receive a 10% discount coupon to apply to a future ASQ
order when placed within six weeks of the Institute. Neither discount
applies to online products such as ASQ Online.
REGISTRATION PROCESSING AND CONFIRMATION: Registrations
will not be processed or confirmed until payment or purchase order has
been received. Purchase orders must either accompany the registration
form or be received within five business days of the registration form
and no later than July 14, 2015. All registrations will be confirmed
by email within one week of receipt of registration and payment. It is
strongly recommended that you do not make travel arrangements
(including non-refundable airline reservations) until you have received
your written confirmation notice. Due to limited seating, registration
may close before the registration deadline of July 14, 2015; please
register early.
CANCELLATION POLICIES: Brookes Publishing reserves the right
to cancel the Institute and will inform registrants by July 14, 2015.
Should the Institute be cancelled, full refunds of the registration fee
will be issued; Brookes Publishing will not refund for expenses above
the cost of registration. Should you be unable to attend the Institute
after registering, you must notify Brookes Publishing before July 14,
2015, by mail, fax, or email in order to receive a 75% refund. No
refunds will be available after July 14, 2015, but organizations may
choose to send substitutes, space permitting. Substitutes must
be declared and must complete a registration form at least three
business days before the Institute.
SCHEDULE CHANGES: Brookes Publishing reserves the right to
substitute instructors, adjust training times, and/or reschedule the
Institute. Advance notice will be provided to the extent possible.
MEALS/REFRESHMENTS: Continental breakfast, lunch, and
refreshment breaks will be provided for Institute participants.
LODGING:
DoubleTree by Hilton®
Philadelphia Center City
237 South Broad Street
Philadelphia, Pennsylvania 19107 USA
Tel: 215-893-1600
Fax: 215-893-1664
www.Philadelphia.DoubleTree.com
Reservations must be made directly with the DoubleTree by
Hilton® Philadelphia Center City no later than July 14, 2015.
A limited number of rooms have been reserved at the DoubleTree
by Hilton® Philadelphia Center City for a discounted rate of
$165.00 per night plus taxes. To qualify for the discounted
rate, make your reservation no later than July 14, 2015; specify
BROOKES PUBLISHING and ASQ-3 & ASQ:SE TRAINING OF
TRAINERS INSTITUTE when making your reservation by phone
at 888-421-1442 or online at https://resweb.passkey.com/go/
ASQSETOTInstitute. Rates are for single or double occupancy rooms
and do not include applicable state and local taxes, surcharges,
parking, or other incidental fees. Prior to sending or bringing an
organization check to the hotel, please inquire as to their check
acceptance policies. Check-in is 3:00 p.m.; check-out is 12:00 p.m.
Parking is available for an additional fee and is subject to applicable
tax. All DoubleTree by Hilton® policies prevail.
TRAVEL: The DoubleTree by Hilton® Hotel Philadelphia Center City is
9 miles from Philadelphia International Airport (PHL). PHL offers rental
cars, taxis, and shuttle service. See the hotel website for details and
directions.
ALTERNATE LODGING: Email seminars@brookespublishing.com.
SPECIAL ACCOMMODATIONS: We’ll do our best to accommodate
your request. Email seminars@brookespublishing.com.
QUESTIONS? Email seminars@brookespublishing.com or call 1-800638-3775. For information on other Brookes On Location seminars,
see www.brookesonlocation.com.
Ages & Stages Questionnaires® is a registered trademark and ASQ-3™, ASQ:SE-2™, and the ASQ logos are trademarks of Paul H. Brookes Publishing Co., Inc.
REGISTRATION FORM
Full attendance is required for successful completion
of the Institute. Please plan your travel accordingly.
Registration is open until July 14, 2015, or until we reach capacity.
INDIVIDUAL—Complete this form and mail, email, or fax with payment to Brookes On Location, P.O. Box 10624,
Baltimore, MD 21285-0624, USA, seminars@brookespublishing.com, or FAX 443-279-0976. To register online, go to
http://bit.ly/ASQInstitReg.
GROUPS—Send 4+ PEOPLE & SAVE! Group Registration Form and pricing can be found online at
www.brookesonlocation.com/asq-institute.
PRINT CLEARLY
Name____________________________________________________________________________________________________________________
Title______________________________________________________________________________________________________________________
Registration will include a
bonus session for ASQ Online
on Friday, August 7. Our ASQ
Online expert will provide a
live demo of the management
system. You’ll see how easy
it is to enter and score a
questionnaire online, how ASQ
Family Access works, and
how to run reports. It’s a great
chance to ask questions and
learn more about this timesaving, user-friendly system.
PRAISE FOR THE ASQ
TRAINING INSTITUTE:
“I would recommend [the
Institute]. I currently do
provide training but I gained
new insights and activities to
incorporate and use. Great
use of my time.”
—Evette Callahan, Ph.D.,
Coordinator Assessment & Family
Involvement, San Diego County Office of
Education, California
“The ASQ information equipped
me to provide a good
foundation for my colleagues.
The Brookes staff has truly
taken care of the participants’
needs.”
—Debbie Mickey, Education/Curriculum
Specialist, Butler County ESC, Ohio
“This training helped to refresh
our [program’s] understanding
of each tool and provided
additional insight on how to
integrate usage across service
areas.”
—Debra Barrett, Program Coordinator of
Education Services, Y of Central Maryland,
Baltimore County Head Start,
Perry Hall, Maryland
“Very thorough and well
presented.”
—Nancy Ezra, Ph.D., Director, Children’s
Institute, Inc., Los Angeles, California
Organization_______________________________________________________________________________________________________________
Address__________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
m residential
m business
City____________________________________ State_________ ZIP / Postal Code___________________ Country__________________________
Daytime Phone__________________________
Fax ____________________________________________________________________________
Email (REQUIRED for Institute communication purposes)_________________________________________________________________________
m Yes! I want to receive email about new titles & special offers. (Your email address will not be shared with any other party.)
PAYMENT METHOD
m Check enclosed (payable to Brookes Publishing Co.)
m Purchase Order # (must be attached)_______________________
Grace
2
m Discover (16 digits) m MasterCard (16 digits) m Visa (13 or 16 digits) m American Express (15 digits)
Credit card account number_________________________________________________________________________________________________
Security code (3 or 4 digit code on back of card)_________________________________________________ Expiration date (mo/yr) _________________________
Name as it appears on credit card ____________________________________________________________________________________________
Signature_________________________________________________________________________________________________________________
REGISTRATION FEES
ASQ-3™ & ASQ:SE-2™ Training of Trainers Institute, August 5-7, 2015, Philadelphia, PA
q Early Bird Registration, ends April 30, 2015 US$925.00
q Standard Registration, May 1, 2015, or later US$975.00*
*This form is for INDIVIDUAL registration only. For GROUPS of 4+, visit www.brookesonlocation.com/asq-institute to download the group registration form and pricing.
BOL2015.indd 2
Demand is high and space
is limited, so register early
to ensure your space at the
Institute. We are not able to hold
registrations without payment
nor are we able to accept
on-site registration.
1/13/15 10:07 AM
Registration is open until July 14, 2015, or until we reach capacity.*
Demand is high and seating is limited; register early to ensure your space.
We cannot guarantee that seating will be available through the registration deadline of July 14, 2015.
Payment must accompany your registration form; we are not able to hold your space without purchase
order or payment. On-site registration at the Institute is not available.
BONUS SESSION!
*We do not recommend that you book non-refundable flights or hotel reservations until you receive confirmation of your Institute registration.
IMPORTANT NOTE: MATERIALS ARE REQUIRED: Participants
must bring the ASQ-3™ User’s Guide to the Institute.
Participants should pre-order a copy of the ASQ:SE-2™ User’s
Guide, which is scheduled for publication in August 2015. Selected
portions of the ASQ:SE-2™ User’s Guide that are needed for
the Institute will be provided with your training materials; however,
participants are required to purchase a copy of the ASQ:SE-2™
User’s Guide to ensure they have the necessary information for
implementation of ASQ:SE-2™.
Participants from the same program may share Guides. Please
purchase your Guides from Brookes Publishing and bring to the
Institute. A pre-Institute discount of 20% will be provided with your
registration confirmation. Order by phone at 1-800-638-3775 or
online at www.brookespublishing.com. For U.S. customers, orders
MUST be received by 4:00 p.m. EST on July 10, 2015; otherwise
RUSH shipping charges may apply. For outside the U.S., including
Canada, orders MUST be received by 4:00 p.m. EST on June 19,
2015 (international RUSH shipping may be required).
MATERIALS PROVIDED: While at the Institute, participants will
receive practice forms, case studies, and handouts. For those
participants who successfully complete the Institute, a certificate of
attendance as well as a USB flash drive of training materials will be
sent by mail. Please note: The USB flash drive of training materials
will not be available at the Institute.
PRODUCT DISCOUNTS: After registering for the Institute, participants
will receive an email confirmation which will include a 20% discount
code valid for purchases of ASQ materials made prior to the Institute.
Please allow one week after submitting your registration to receive
your confirmation email with the discount code. While at the Institute,
participants will receive a 10% discount coupon to apply to a future ASQ
order when placed within six weeks of the Institute. Neither discount
applies to online products such as ASQ Online.
REGISTRATION PROCESSING AND CONFIRMATION: Registrations
will not be processed or confirmed until payment or purchase order has
been received. Purchase orders must either accompany the registration
form or be received within five business days of the registration form
and no later than July 14, 2015. All registrations will be confirmed
by email within one week of receipt of registration and payment. It is
strongly recommended that you do not make travel arrangements
(including non-refundable airline reservations) until you have received
your written confirmation notice. Due to limited seating, registration
may close before the registration deadline of July 14, 2015; please
register early.
CANCELLATION POLICIES: Brookes Publishing reserves the right
to cancel the Institute and will inform registrants by July 14, 2015.
Should the Institute be cancelled, full refunds of the registration fee
will be issued; Brookes Publishing will not refund for expenses above
the cost of registration. Should you be unable to attend the Institute
after registering, you must notify Brookes Publishing before July 14,
2015, by mail, fax, or email in order to receive a 75% refund. No
refunds will be available after July 14, 2015, but organizations may
choose to send substitutes, space permitting. Substitutes must
be declared and must complete a registration form at least three
business days before the Institute.
SCHEDULE CHANGES: Brookes Publishing reserves the right to
substitute instructors, adjust training times, and/or reschedule the
Institute. Advance notice will be provided to the extent possible.
MEALS/REFRESHMENTS: Continental breakfast, lunch, and
refreshment breaks will be provided for Institute participants.
LODGING:
DoubleTree by Hilton®
Philadelphia Center City
237 South Broad Street
Philadelphia, Pennsylvania 19107 USA
Tel: 215-893-1600
Fax: 215-893-1664
www.Philadelphia.DoubleTree.com
Reservations must be made directly with the DoubleTree by
Hilton® Philadelphia Center City no later than July 14, 2015.
A limited number of rooms have been reserved at the DoubleTree
by Hilton® Philadelphia Center City for a discounted rate of
$165.00 per night plus taxes. To qualify for the discounted
rate, make your reservation no later than July 14, 2015; specify
BROOKES PUBLISHING and ASQ-3 & ASQ:SE TRAINING OF
TRAINERS INSTITUTE when making your reservation by phone
at 888-421-1442 or online at https://resweb.passkey.com/go/
ASQSETOTInstitute. Rates are for single or double occupancy rooms
and do not include applicable state and local taxes, surcharges,
parking, or other incidental fees. Prior to sending or bringing an
organization check to the hotel, please inquire as to their check
acceptance policies. Check-in is 3:00 p.m.; check-out is 12:00 p.m.
Parking is available for an additional fee and is subject to applicable
tax. All DoubleTree by Hilton® policies prevail.
TRAVEL: The DoubleTree by Hilton® Hotel Philadelphia Center City is
9 miles from Philadelphia International Airport (PHL). PHL offers rental
cars, taxis, and shuttle service. See the hotel website for details and
directions.
ALTERNATE LODGING: Email seminars@brookespublishing.com.
SPECIAL ACCOMMODATIONS: We’ll do our best to accommodate
your request. Email seminars@brookespublishing.com.
QUESTIONS? Email seminars@brookespublishing.com or call 1-800638-3775. For information on other Brookes On Location seminars,
see www.brookesonlocation.com.
Ages & Stages Questionnaires® is a registered trademark and ASQ-3™, ASQ:SE-2™, and the ASQ logos are trademarks of Paul H. Brookes Publishing Co., Inc.
REGISTRATION FORM
Full attendance is required for successful completion
of the Institute. Please plan your travel accordingly.
Registration is open until July 14, 2015, or until we reach capacity.
INDIVIDUAL—Complete this form and mail, email, or fax with payment to Brookes On Location, P.O. Box 10624,
Baltimore, MD 21285-0624, USA, seminars@brookespublishing.com, or FAX 443-279-0976. To register online, go to
http://bit.ly/ASQInstitReg.
GROUPS—Send 4+ PEOPLE & SAVE! Group Registration Form and pricing can be found online at
www.brookesonlocation.com/asq-institute.
PRINT CLEARLY
Name____________________________________________________________________________________________________________________
Title______________________________________________________________________________________________________________________
Registration will include a
bonus session for ASQ Online
on Friday, August 7. Our ASQ
Online expert will provide a
live demo of the management
system. You’ll see how easy
it is to enter and score a
questionnaire online, how ASQ
Family Access works, and
how to run reports. It’s a great
chance to ask questions and
learn more about this timesaving, user-friendly system.
PRAISE FOR THE ASQ
TRAINING INSTITUTE:
“I would recommend [the
Institute]. I currently do
provide training but I gained
new insights and activities to
incorporate and use. Great
use of my time.”
—Evette Callahan, Ph.D.,
Coordinator Assessment & Family
Involvement, San Diego County Office of
Education, California
“The ASQ information equipped
me to provide a good
foundation for my colleagues.
The Brookes staff has truly
taken care of the participants’
needs.”
—Debbie Mickey, Education/Curriculum
Specialist, Butler County ESC, Ohio
“This training helped to refresh
our [program’s] understanding
of each tool and provided
additional insight on how to
integrate usage across service
areas.”
—Debra Barrett, Program Coordinator of
Education Services, Y of Central Maryland,
Baltimore County Head Start,
Perry Hall, Maryland
“Very thorough and well
presented.”
—Nancy Ezra, Ph.D., Director, Children’s
Institute, Inc., Los Angeles, California
Organization_______________________________________________________________________________________________________________
Address__________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
m residential
m business
City____________________________________ State_________ ZIP / Postal Code___________________ Country__________________________
Daytime Phone__________________________
Fax ____________________________________________________________________________
Email (REQUIRED for Institute communication purposes)_________________________________________________________________________
m Yes! I want to receive email about new titles & special offers. (Your email address will not be shared with any other party.)
PAYMENT METHOD
m Check enclosed (payable to Brookes Publishing Co.)
m Purchase Order # (must be attached)_______________________
Grace
2
m Discover (16 digits) m MasterCard (16 digits) m Visa (13 or 16 digits) m American Express (15 digits)
Credit card account number_________________________________________________________________________________________________
Security code (3 or 4 digit code on back of card)_________________________________________________ Expiration date (mo/yr) _________________________
Name as it appears on credit card ____________________________________________________________________________________________
Signature_________________________________________________________________________________________________________________
REGISTRATION FEES
ASQ-3™ & ASQ:SE-2™ Training of Trainers Institute, August 5-7, 2015, Philadelphia, PA
q Early Bird Registration, ends April 30, 2015 US$925.00
q Standard Registration, May 1, 2015, or later US$975.00*
*This form is for INDIVIDUAL registration only. For GROUPS of 4+, visit www.brookesonlocation.com/asq-institute to download the group registration form and pricing.
BOL2015.indd 2
Demand is high and space
is limited, so register early
to ensure your space at the
Institute. We are not able to hold
registrations without payment
nor are we able to accept
on-site registration.
1/13/15 10:07 AM
2
NEW
1/13/15 10:07 AM
Full attendance is required for
successful completion of the Institute.
Please plan your travel accordingly.
*includes a bonus session on ASQ Online
8:30 a.m.—2:00 p.m.
Friday, August 7*
8:30 a.m.—4:30 p.m.
Thursday, August 6
8:30 a.m.—4:30 p.m.
Wednesday, August 5
2½-DAY SEMINAR
DoubleTree by Hilton®
Philadelphia Center City
Open to learn more!
August 5—7, 2015
Philadelphia, Pennsylvania
TRAINING OF TRAINERS INSTITUTE
August 5–7, 2015 | Philadelphia, PA
TRAINING OF TRAINERS
INSTITUTE
2
Discount does not apply to group registrations of 4+ people.
implement ASQ-3™ and ASQ:SE-2™ effectively • score questionnaires and interpret results
identify developmental warning signs
• discuss results sensitively with families
understand the referral process • work with families from diverse cultural backgrounds
teach others within your organization how to successfully use ASQ-3™ and ASQ:SE-2™
JANTINA CLIFFORD,
PH.D., is Assistant
Professor in the Early
Intervention Program
at the University of
Oregon’s College of
Education. Jantina has been active in
the research and development of both
ASQ and ASQ:SE, as well as SEAM.
She brings expertise from her 8 years
as an early childhood educator to the
professional development experience.
INSTRUCTORS
ELIZABETH
TWOMBLY, M.S.,
is Adjunct Instructor,
Special Education and
Clinical Sciences, at the
University of Oregon’s
College of Education. Liz has been
involved in the ASQ project for over 10
years, most currently as a senior research
assistant in the development of ASQ:SE.
SUE YOCKELSON,
PH.D., is Assistant
Professor of Special
Education at Brandman
University. Sue received
her degree from the
University of Oregon Early Intervention
Program and has a background in
education for typically and atypically
developing children. Sue provides
instruction on developmental screening of
young children using ASQ.
WHO SHOULD ATTEND
The Institute is designed for intermediate to advanced ASQ users who already oversee ASQ implementation
and training within their organization; participants will leave the Institute prepared to instruct colleagues
on ASQ-3™ and/or ASQ:SE-2™. However, new ASQ users also may find the Institute beneficial to their
understanding and implementation of ASQ-3™ and/or ASQ:SE-2™. All participants will receive valuable
information to advance their skill level and knowledge of the tools.
While at the Institute, you’ll receive instruction from ASQ experts, practice forms, case studies, and a binder
with handouts for conducting trainings within your organization. Upon your successful completion of the
Institute, a certificate of attendance and a USB flash drive of training materials will be sent by mail.
•
•
•
•
WHAT YOU’LL LEARN
Take your ASQ knowledge to the next level with this in-depth, step-by-step seminar—everything you
need to know for instructing your colleagues in using Ages & Stages Questionnaires®, Third Edition
(ASQ-3™), and the NEW Ages & Stages Questionnaires®: Social-Emotional, Second Edition
(ASQ:SE-2™) to screen infants and young children. This thorough seminar shows you how to
Register by April 30, 2015, to get $50 off registration!
Your first opportunity to receive
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EARLY BIRD REGISTRATION DISCOUNT:
P.O. Box 10624
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