SETP Core Training
Supported Employment Training Project
Human Development Institute
University of Kentucky
www.hdi.uky.edu/setp
Name
Job Title/Role
Registration Form
Organization
Street/P.O. Box
Phone
City
State KY Zip code
E-mail
Accommodation(s) needed for attending event (e.g. interpreter, dietary requirements, etc.):
Please select the event(s) and dates you wish to attend:
Session 1, “SE 101” (July 23-24, deadline 7/9) - $85
Sessions 2 and 3 (Aug. 20-21 and Sept. 17-18, deadline 8/6) - $170
Session 1, “SE 101” (October 28-29, deadline 10/14) - $85
Sessions 2 and 3 (Nov. 19-20 and Dec. 9-10, deadline 11/5) - $170
Session 1, “SE 101” (January 14-15, deadline 1/2) - $85
Payments must be received prior
to events. Please make checks
payable to the University of
Kentucky.
Additional information about
events may be found on our web
site: hdi.uky.edu/setp/training
Sessions 2 and 3 (Feb. 4-5 and March 4-5. Deadline 1/21) - $170
Session 1, “SE 101” (April 22-23, deadline 4/8) - $85
Sessions 2 and 3 (May 6-7 and June 4-5, deadline 4/22) - $170
1.
Describe your background and experience with supported employment, as well as your
interest in attending the event(s) you’re registering to attend:
2.
Please read the document on this web page, “What is (and what isn’t) supported
employment?” and describe at least one item that you believe will be challenging to achieve
or one item that surprised you (and why it surprised you):
3.
Please read and respond to the requirements below:
I commit to attending all days of training in their entirety.
I agree to complete assignments within event timelines.
My supervisor will support my involvement in the above requirements.
→ Please ask your supervisor (as applicable) to complete information in the
next section.
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To be completed by supervisor:
Supervisor name
E-mail
1. The FTE* in supported employment of
2.
Phone
(person registering to attend) is
%.
I’ve read the document on this web page, “What is (and what isn’t) supported
employment?” and I assure that our organization will support service provision consistent
with the quality characteristics listed for new people served and clearly move toward these
approaches for people whose services are not consistent with the quality characteristics.
* Full time equivalent - the percentage of work time devoted to SE
Please complete and submit either the fill-in registration form via e-mail or the print form
via fax or mail no later than the deadline listed to Katie Wolf Smith:
e-mail: kwolf@uky.edu
fax: 859-977-4054
mail: SETP-HDI, 1525 Bull Lea Rd., Suite 160, Lexington, KY 40511
Questions or problems with the forms? Contact: Milton Tyree (mtyree@uky.edu or call 859-9774050, ext. 234) or Katie Wolf Smith (kwolf@uky.edu or call 859-977-4050, ext. 229)
Payments must be received prior to events. Please make checks payable to the
University of Kentucky and mail to: Katie Wolf Smith, SETP-HDI, 1525 Bull Lea Rd., Suite
160, Lexington, KY 40511.
Additional information about events may be found on our web site:
www.hdi.uky.edu/setp/training
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