Please complete the below evaluation about your course experience.

Select the Conference*

The course(s) presented up-to-date content.*

The course(s) met content expectations.*

The trainer of the course(s) demonstrated expert knowledge of the contact presented.*

The interaction between you and the trainer(s) was appropriate and comfortable for the purpose of the course.*

Personal Information

Name*

First Last

Email*

Cell Phone*

School District*

If you hold a teaching license or administrator license, do you want to CEUs or SEMis for the conference*

I understand that if payment received/post marked within 3 weeks of applying for CEUs that my application will be voided.?*

Educator ID*

Address*

Street Address City State ZIP Code

Payment Method*

Dyslexia Conference Exit Form

Price:

Total Due

$0.00