Information below will be displayed on attendee badge. Name:_________________________________________ Credentials (25-character limit)____________________________ Company Name:___________________________________ Address:________________________________________ City/State/Zip:_____________________________________ Phone:_________________________________________ E-mail:_________________________________________ First-time attendee: q Yes q No Special physical accommodations needed: q No q Yes (explain:_______________________________ ) Co-constructing Curriculum for Cognitive Strategies: 7044 S. 13th St. Oak Creek, WI 53154 7044 S. 13th St., Oak Creek, WI 53154 P: 414-908-4949 F: 414-768-8001 Co-constructing Curriculum for Association of Educational Therapists Cognitive Strategies: Improving Outcomes Through Student Involvement Send completed registration form with payment to: Association of Educational Therapists San Francisco Bay Area Professional Workshop Saturday, February 4, 2017 l San Rafael, CA Star Academy, 4470 Redwood Hwy., San Rafael, CA REGISTER ONLINE www.AETonline.org Continuing Ed Available! NASP, ASHA, AET REGISTER NOW! www.AETonline.org AET San Francisco Professional Workshop Saturday, February 4, 2017 Improving Outcomes Through Student Involvement Dietary needs: q No q Yes (explain:____________________ ) Registration Fees (continental breakfast and lunch included) Early Bird by Jan. 16 AET member (2315) Non-member (2315) (3) Non-members or more registering at once (2315) SPECIAL: workshop AND AET general membership Non-Member CEUs (4650) Student (copy of valid student ID required) (2315) $135 $175 $150 ea. After Jan. 16 Total $155 $195 $170 ea (mail/fax together for rate) $200 $200 $20 $20 $85 $110 Total:$ q Check is enclosed. (Make checks payable to AET.) q Charge my credit card. qVisa qMastercard qAmerican Express Card #:_______________________Exp. Date:___________ Card Holder Name (print):____________________________ Signature:_____________________________________ * Must submit a copy of valid student ID with registration FIRST CLASS PRSRT February 4, 2017 San Rafael, CA U.S. POSTAGE PAID ST. CHARLES, IL PERMIT NO. 82 An e-mailed receipt from authorize.net will be sent to the above e-mail address when a credit card is processed. The personal information provided will not be used for any purposes other than those stated upon this form unless you provide your consent. AET endeavors at all times to treat your personal information in accordance with all applicable laws. Co-constructing Curriculum for Cognitive Strategies: Association of Educational Therapists Co-constructing Curriculum for Cognitive Strategies: Improving Outcomes Through Student Involvement Improving Outcomes Through Student Involvement WHO SHOULD ATTEND? This workshop is designed for professionals who are interested in developing effective interventions to improve the use of executive functions. • Educational Therapists • Psychotherapists • Learning Specialists • School Psychologists • Classroom Teachers • Social Workers • Developmental Therapists • Speech/Language Therapists WHAT IS AET? The Association of Educational Therapists (AET) is the national professional association for educational therapists. AET defines and sets standards for the professional practice of educational therapy. Educational therapists provide a broad range of individualized educational interventions for children and adults with learning disabilities and other learning challenges. AET Advisory Board Dorothy Ungerleider, M.A., BCET, FAET - AET Founder Joan Axelrod, M.Ed. Phyllis Maslow, Ph.D., FAET Jane Holmes Bernstein, Ph.D. George McCloskey, Ph.D. Mary Byrne, Ph.D., LICSW Louisa C. Moats, Ed.D. Edwin Ellis, Ph.D. Betty Osman, Ph.D. Edward M. Hallowell, M.D. Patricia Quinn, M.D. Stephen Hinshaw, Ph.D. Marshall H. Raskind, Ph.D. Doris J. Johnson, Ph.D. Michael Spagna, Ph.D. Barbara Keogh, Ph.D. Maryanne Wolf, Ph.D. Presented by: George McCloskey, Ph.D. Levels of executive control that involve selfawareness, self-realization and self-determination direct a person’s engagement with activities. They are related to gaining an understanding of personal strengths and weaknesses and how a person’s behavior affects others. This understanding leads to the development of a personal set of goals and long-term plans that motivate and drive behavior. Most clinical work in school settings with children focuses on dealing with self-regulation aspects of executive control. As children enter adolescence, self-regulation issues remain an important focus, but selfdetermination and self-realization issues begin to play a more prominent role in development. This workshop will utilize a case study format to discuss methods for engaging clients in interventions designed to improve the use of executive functions. Topics include strategies and techniques for enhancing self-regulation, self-awareness, and self-determination and strategies for coping with sleep inertia. George McCloskey, Ph.D., is a Professor and Director of School Psychology Research in the Psychology Department of the Philadelphia College of Osteopathic Medicine and holds Diplomate status with the American Academy of Pediatric Neuropsychology. Dr. McCloskey is the lead author of Assessment and Intervention for Executive Function Difficulties and Essentials of Executive Functions Assessment. His most recent writing on interventions for executive function and executive skills difficulties appears in Chapter 10 of Essentials of Planning, Selecting, and Tailoring Interventions for Unique Learners. He is also the author of the McCloskey Executive Functions Scales (MEFS) available from Schoolhouse Press. Disclosure: Financial – Dr. McCloskey receives honoraria from AET and royalties from Taylor & Francis, Wiley & Sons and Schoolhouse Press. He is compensated for teaching and speaking at workshops, conferences and institutes. Nonfinancial – No relevant relationships to disclose. Event Location: Star Academy 4470 Redwood Hwy. San Rafael, CA Free Parking Registration: 8:00 am Presentation Start Time: 8:30 am End Time: 4:00 pm Continuing Education Information: This program is offered for 0.6 ASHA CEUs (Intermediate level, Professional area). This program is offered for: • AET: 6 CE hours • ASHA: 0.6 CEUs (Intermediate level, Professional area) • NASP: 6 hours of CPD (CE credit for BBS licensees available through NASP) Cancellation Policy: All cancellation requests must be in writing. Cancellations received by January 19, 2017 will be subject to a $25 processing fee. No refunds will be given after January 19, 2017. LEARNING OUTCOMES: At the conclusion of this workshop, participants will be able to: 1. Describe and apply strategies for improving clients’ self-regulation capacities. 2. Describe and apply strategies for improving clients’ self-awareness capacities. 3. Describe and apply strategies for improving clients’ self-determination capacities. 4. Describe and apply strategies for enabling clients to overcome sleep inertia problems. REGISTER Today! www.AETonline.org
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