Parent Training and Information for Families of Children with Disabilities Early Childhood Parent Leadership Training Sandhills Conference Center, North Platte For parents whose child with a disability is six or younger. August 12 & 13, 2011 AND September 17, 2011 (Attendance for all three days is required for registration) Name________________________________________________________________________ Address______________________________________________________________________ City____________________________________ State___________ Zip__________________ Home phone_______________ Work phone________________ Cell phone________________ Email_____________________________________________________ Please tell us a little about your family: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Tell us why you would like to participate in this workshop: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Are you a parent of a child with a disability? __________ Age of your child__________ Are you currently a member of your local Planning Region Team? ________ I/we am/are committing to attend the PTI Nebraska Early Childhood Parent Leadership training. I have supports in place to attend August 12 & 13 and September 17th. If unable to attend, I will call PTI Nebraska at 800-284-8520 as soon as possible so another parent may attend. Applications will be considered on a first come, first served basis and are due by August 2, 2011. Space is limited. For further information about the training or to submit your application, you may call, email, mail or fax: PTI Nebraska Attn: Connie Shockley 6805 Grover Street Omaha, NE 68106 (402) 991-6713 or toll-free (866) 991-6713 Fax 402-934-1479 cshockely@pti-nebraska.org Parent Training and Information for Families of Children with Disabilities PARENT LEADERSHIP TRAINING PTI Nebraska has received funding to offer leadership training designed specifically for parents who have a child with a disability and is six years old or younger. It is being made available to those parents who are serving on their local Planning Region Team, (PRT) or who might do so in the future. There is no cost for attending this training. Hotel rooms and meals will be provided. Parents will be provided stipends for each weekend to assist with the cost of travel and childcare. Parents will develop their individual leadership skills and set their own personal goals through hands on exercises and experiences. The days will be busy while parents are learning about themselves, discovering their strengths and having fun. The first training will take place in North Platte at the Sandhills Conference Center on August 12th and 13th and September 17th. Attendance at all three sessions is mandatory for registration. Space for these events is limited so if you are or know of a parent who is interested, please contact Connie Shockley at PTI Nebraska 402-991-6713 or toll-free at 866-9916713 for more information or to apply. These learning opportunities are made available to the eligible Nebraska families by the Early Development Network Co-Lead agencies, Nebraska Departments of Health and Human Services and Education.