Get Alta Ceu Application Form

Com www. ALTAread.org This application may also be emailed directly to Treasa Owens ALTA CEU Chairman treasa.owens tsrh. Academic Language Therapy Association Continuing Education Units CEU Application for Individual Event Approval Member requesting Approval Date Event Title Event Date Location Event Cost Sponsor Name This name should appear on Certificate you will receive. Sponsor Affiliation A The Academic Language Therapy Association B ALTA affiliated therapist training programs C Organization concerned with dyslexia and related learning disabilities D University or college E Individual attach appropriate credentials F Other if other please attach appropriate documentation Number of Contact Hours required One 1 Contact Hours Sixty 60 minutes of direct instruction lecture seminar or practical teaching. Academic Language Therapy Association Continuing Education Units CEU Application for Individual Event Approval Member requesting Approval Date Event Title Event Date Location Event Cost Sponsor Name This name should appear on Certificate you will receive. Sponsor Affiliation A The Academic Language Therapy Association B ALTA affiliated therapist training programs C Organization concerned with dyslexia and related learning disabilities D University or college E Individual attach appropriate credentials F Other if other please attach appropriate documentation Number of Contact Hours required One 1 Contact Hours Sixty 60 minutes of direct instruction lecture seminar or practical teaching. Topic Area s 1 Language and/or learning disorder 2 Applied multisensory practice and methodology 3 Curricula in academic language therapy 4 Research-medicine psychology eduction linguistics 5 Professional practice related laws and/or ethics of practice 6 Other Briefly describe program goals and/or projected outcomes List the names of the Presenter s degree title professional affiliation 1 2 Web site or Contact Person for Sponsor of Event Member Mailing Address City State Zip Member Current Email Do not leave blank Daytime Phone For Continuing Education Subcommittee Use Date Received Notification Sent Mail Form to Academic Language Therapy Association 14070 Proton Road Suite 100 LB9 Dallas TX 75244 972/233-9107 X208 Fax 972-490-4219 casey madcrouch. Sponsor Affiliation A The Academic Language Therapy Association B ALTA affiliated therapist training programs C Organization concerned with dyslexia and related learning disabilities D University or college E Individual attach appropriate credentials F Other if other please attach appropriate documentation Number of Contact Hours required One 1 Contact Hours Sixty 60 minutes of direct instruction lecture seminar or practical teaching. Topic Area s 1 Language and/or learning disorder 2 Applied multisensory practice and methodology 3 Curricula in academic language therapy 4 Research-medicine psychology eduction linguistics 5 Professional practice related laws and/or ethics of practice 6 Other Briefly describe program goals and/or projected outcomes List the names of the Presenter s degree title professional affiliation 1 2 Web site or Contact Person for Sponsor of Event Member Mailing Address City State Zip Member Current Email Do not leave blank Daytime Phone For Continuing Education Subcommittee Use Date Received Notification Sent Mail Form to Academic Language Therapy Association 14070 Proton Road Suite 100 LB9 Dallas TX 75244 972/233-9107 X208 Fax 972-490-4219 casey madcrouch.