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Diagnostic Center, Central CA
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Requestor Information
Requesting Local Eduation Agency:
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Training Request 1
Training Title:
-- Choose One --
Concussions: More than Just a Bump on the Head! (Traumatic Brain Injury) - Michelle Austin
Reaching Students Impacted by Environmental Adversity, Trauma or Foster Care Placement - Jodie Dittmar
Essential Elements of Effective Secondary Transition Planning - Gwen Deeter
Section 504: What’s it all About? - Patricia Deroian
Audience:
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1st Choice
: Date
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2nd Choice
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Training Request 2
Training Title:
-- Choose One --
Concussions: More than Just a Bump on the Head! (Traumatic Brain Injury) - Michelle Austin
Reaching Students Impacted by Environmental Adversity, Trauma or Foster Care Placement - Jodie Dittmar
Essential Elements of Effective Secondary Transition Planning - Gwen Deeter
Section 504: What’s it all About? - Patricia Deroian
Audience:
Date and Time Requested
1st Choice
: Date
Start Time
End Time
2nd Choice
: Date
Start Time
End Time
Location of Training
Facility:
Address:
City:
State:
Zip:
Registration Contact
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Email:
Add a 3rd Training Request to this Form
Training Request 3
Training Title:
-- Choose One --
Concussions: More than Just a Bump on the Head! (Traumatic Brain Injury) - Michelle Austin
Reaching Students Impacted by Environmental Adversity, Trauma or Foster Care Placement - Jodie Dittmar
Essential Elements of Effective Secondary Transition Planning - Gwen Deeter
Section 504: What’s it all About? - Patricia Deroian
Audience:
Date and Time Requested
1st Choice
: Date
Start Time
End Time
2nd Choice
: Date
Start Time
End Time
Location of Training
Facility:
Address:
City:
State:
Zip:
Registration Contact
Name:
Phone:
Email:
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