SAM SE Regional Conference
Registration Deadline: May 19, 2014
June 7, 2014
Self–Advocates Minnesota (SAM) SE would like to invite you to their Regional Conference in Winona, MN
SAM is a network of self-advocates, advisors, allies, friends, families and professionals led by self-advocates. SAM is working on Personal Empowerment, Systems Change, Leadership
Development, Public Awareness and Education. Please come and join us in a day of fun and training!
Conference will be held at The Riverport Inn & Suites
Descriptions of the trainings
900 Bruski Drive, Winona, MN 55987
REcognize, SUpport, ME: Presented by Cheryl Gardner-Ghionzoli
Conference Agenda
Ever wonder where you could work that involves your talents and interests. Learn how to describe your skills
and talents and create a resume that tells prospective employers what you have to offer.
Introduction to Basic Sign Language: Presented by Deb Harguth
Participants will be learning how to communicate effectively using body language, gestures, simple signs and the
alphabet. These signs cans be used in everyday life situations and help improve communication. There will be
ample time available for asking specific questions regarding individual situations and signs.
**Lunch to be on your own outside of building**
Check in for conference-Receive schedule
12:00pm to 1:00pm
Welcome
1:00pm to 1:45pm
15 Minute Break
1:45pm to 2:00pm
Session #1–
2:00pm to 3:15pm
My Choice, Your Decision: Presented by ACT & SAM SE Leaders
The talents of Interact Theatre Company illustrate the often hilarious differences between new fads in providing
services to people with disabilities and what people really want for themselves through video. We will uncover
our most basic prejudices and common mistakes. Exercises bring participants through the ABC’s of
understanding choices and making decisions. This is a effective tool for showing staff and professionals how to
share power. Come learn how to set goals, make decisions and work through conflict.
You VS the Bully: Presented by Amber Carter & Karli Harguth
Want to learn how to handle a situation when you’re getting bullied? Come to this workshop and see what you
can do if you are put in a bully situation. We will be role playing to get a feel of what would happen in an exact or
similar situation. We will also be showing you a video and sharing information that you can take home and put to
good use. So come and learn what you can do and how you can teach others how to prevent bullying.
Self-Advocates Savin’ Lives: Presented by Cheryl Gardner-Ghionzoli, Dawn Helgeson, & Tammy Flicek
Learn how to recognize and respond to an emergency situation and some basic skills to help save a life.
Proud of Who We Are: Presented by Karen Larson
Let's celebrate who we are and where we are going. In this fun workshop, we'll start by watching the bold, inyour-face documentary, Disability Culture Rap. Afterward, we'll have a lot to talk about: our own dreams, our own
ideas of disability, the power of language, and the growing culture of resisting oppression. You are guaranteed to
leave this workshop with a full dose of pride and power.
REcognize, SUpport, ME; Sign Language; My Choice; Your Decision
15 Minute Break-Snack (included)
3:15pm to 3:30pm
Session #2–
3:30pm to 4:45pm
Self-Advocates Savin’ lives; You VS the Bully; Proud of Who We Are
15 Minute Break
4:45pm to 5:00pm
Bingo
5:00pm to 6:00pm
Supper (included with registration)
6:00pm to 7:00pm
Dance
7:00pm to 9:00 pm
This Year’s Conference is a Wizard of Oz theme!
Feel free to dress up!!
There will be an opportunity for pictures. Cost with frame is $5/each
SAM SE Regional Conference Registration Deadline: May 19, 2014
Registration Fee of $40.00 is required with this form for self-advocates. $15.00 for support staff. There are scholarships available for self-advocates thanks to the MN DD
Council. Please indicate under method of payment if a scholarship is needed. Please only one person per registration form. Thank You!
Please print all information in full
Registration is for:
Self-Advocate
Please rank your choices for each session 1-3, 1 being the 1st choice and 3 being last choice
*Example
Staff
Session #1
Session #2
2
REcognize,
SUpport, ME
REcognize,
SUpport, ME
Address
1
Sign Language
Sign Language
Proud of Who
We Are
City, State, Zip Code
3 My Choice, Your
Decision
My Choice, Your
Decision
Self- Advocates
Savin’ Lives
Name
Phone
Email
Photographs will be taken at this event and used for The Arc & SAM SE
MN purposes. If you do not want your picture taken or used please sign
and date below. By not signing you agree for your picture to be used.
Name & Date
You VS the Bully
You will receive your list of trainings at check in on the day of the conference. Placement in a specific
workshop will be on a first come first placed list. Please do not attend unscheduled trainings as there
may not be available room. If support staff is needed to attend a workshop with an individual please
indicate that on your registration and choose the same workshops and indicate who they need to be
with. **If you would like confirmation that I have received your registration or have questions please
call Melissa at 507-287-2032 or 888-732-8520 or melissa@arcse-mn.org. Thank you for helping make
this event a memorable time.
Dinner Selections: Please choose one
Baked Chicken Breast with Herb
Cream Sauce
Baked Spinach & Cheese Tortellini with
Parmesan Cheese in a Garlic Alfredo Sauce
Special Diet Please indicate needs:
Method of Payment
Please return this form to:
The Arc Southeastern Minnesota
Attention: Melissa Evans
6301 Bandel Rd NW, Suite 605
Rochester, MN 55901
Phone: 507-287-2032 or
Toll Free: 888-732-8520
Fax: (507) 287-2089
E-mail: melissa@arcse-mn.org
(Please make checks out to The Arc Southeastern Minnesota)
Scholarship
Name
Credit Card #
Partial Scholarship
Check
Exp. date
Signature
MasterCard
Amount