Center for Autism and Related Disabilities
FREE Regional Training provided by PEPSA
in Miami-Dade County
TEACCH
Structured Teaching Approach to working with
Students with Autism Spectrum Disorders
Dr. Gary Mesibov, Director of Division TEACCH
*This is a two-day series. You must register for both dates*
December 4 - 5, 2007
9:00 am – 3:00 pm
Registration begins at 8:15 am
Lunch on your own 12:00 pm – 1:00 pm
James L. Knight Convention Center
3rd Floor ▪ Miami Lecture Hall
400 SE 2nd Avenue ▪ Miami, Florida 33146
This workshop will be provided by the Director of Division TEACCH, Dr. Gary Mesibov, one of
the premier autism experts in the world. Dr. Mesibov will present the principles and practices of
structure teaching in a 2-day workshop targeted toward pre-kindergarten and elementary school
teachers, school-based therapists, and administrators.
Directions to training Location:
From I- 95: Take I-95 South. Exit 2C on the left for Miami Ave. toward Downtown/Biscayne Blvd. Keep right at the
fork, follow signs for Biscayne Blvd. Turn right at SW 2nd Ave. James L. Knight Center will be on your right.
Parking Info: Parking (at the Bank of America Parking Lot only) will be $7.00/day for attendees.
*Regular fee is $18.75
For more information contact: Maria Lis De Gasperi (305) 284-5263 or mlisdegasperi@psy.miami.edu
------------------------------------------------------------------------------------------------------------------------------Be sure to contact your ESE District Staff or Staff Development Contact to determine the process for receiving in-service points.
Registration Information
REGISTRATION IS MANDATORY……DEADLINE: November 30, 2007
*This is a two-day series. You must register for both dates*
Complete the attached registration form and submit to Maria Lis De Gasperi
Mail: UM-NSU CARD ▪ 5665 Ponce de Leon Blvd. 2nd Floor ▪ Coral Gables, FL 33146
Email: mlisdegasperi@psy.miami.edu
FAX: 305-284-6555
Regional Trainings are hosted by the Center for Autism and Related Disabilities, through the Partnership for Effective Programs for Students with Autism
(PEPSA), a program funded by the State of Florida, Department of Education, K-12 Public Schools, Bureau of Exceptional Education and Student
Services, through federal assistance under the Individuals with Disabilities Education Act (IDEA), Part B.
www.DOEpartnership.org
Regional Training Registration Form
Please complete ALL sections of this form and submit. All confirmations and/or reminders will be sent via email.
Training Information
CARD Center Hosting Training
Florida Atlantic University (FAU) CARD
Florida State University (FSU) CARD
University of Central Florida (UCF) CARD
University of Florida- Gainesville (UF GV) CARD
University of Florida- Jacksonville (UF JAX) CARD
University of Miami-Nova Southeastern University (UM-NSU) CARD
University of South Florida (USF) CARD
Training Title
TEACCH Structured Teaching Approach to working with Students with
Autism Spectrum Disorders
Training Date
December 4, 2007 & December 5, 2007
Registrant Information
No Acronyms Please
Name
Work
Phone
(
)
-
School Name
or Employer
FAX
(
)
-
City
Home
Phone
(
)
-
County
Email
Are you Out-of-Field?
Yes
No
*Out-of-Field refers to a teacher in a district school system assigned to teach outside the area in which he or she was certified
-------------------------------------------------------------------------------Please use the legend below to complete the following information:
Job Title
School
Type:
Class
Type:
Certification:
Legend
JOB TITLE:
1. Elementary Teacher (K-5)
2. Middle School Teacher (6-8)
3. High School Teacher (9-12)
4. Multi-level Teacher (EL, MS,
HS)
5. Itinerant Teacher (K-12)
6. PreKindergarten Teacher
7. Student PK-12
8.
9.
10.
11.
12.
13.
14.
Family Member
Paraprofessional
Therapist (OT/ PT/ SLP)
ESOL Teacher
Title 1 Teacher
District Program Staff
Principal/ Assistant
Principal
SCHOOL TYPE:
CLASS TYPE:
AA. Private
AB. Charter
AC. Public
AD. N/A
BA.
BB.
BC.
BD.
General Education
ESE, NOT Autism
Autism
N/A
15. Other School
Professionals
16. Behavior Specialist
17. Social Worker
18. Psychologist
19. Counselor
20. Nurse
21. FDLRS Staff
CERTIFICATION:
CA. General Education
CB. Varying
Exceptionalities
CC. Other ESE
CD. Not Certified
CE. N/A
22.
23.
24.
25.
26.
Project Staff
Other Agency Staff
Undergraduate Student
Graduate Student
In State Col./ Univ.
Staff
27. Out of State Col./ Univ.
Staff
28. Other School Support
29.
30.
31.
32.
33.
Bus Driver/ Aide
Substitute
Private Consultant
DOE Staff
Preservice Teacher