asq-3 & asq-se-2 october 2017 - ccrcca.org · ages and stages questionnaires social-emotional...

1
Register online at www.ccrcca.org or fax this form to (818) 717-8799 Please PRINT clearly and complete one form for each participant Name Company Title Address City State Zip Phone Email VISA MasterCard I will mail a check Credit Card Number (back of card) Expiration Date Amount Cardholder’s Name Billing Address $ Mail to: Child Care Resource Center Attn: Nina Ruiz 20001 Prairie Street Chatsworth, CA 91311 Ages and Stages Developmental Screening (ASQ-3) & Ages and Stages Questionnaires Social-Emotional (ASQ:SE-2) October 16, 2017 9:00am - 4:00pm At this introductory-level training you will learn how to: Administer and score the ASQ-3 and ASQ:SE-2 Screen children to identify those at-risk or in need of support Engage parents in screening their children Talk to parents about screening results Make referrals to community resources AGES AND STAGES DEVELOPMENTAL SCREENING (ASQ-3) & AGES AND STAGES QUESTIONNAIRES SOCIAL-EMOTIONAL (ASQ:SE-2) Instructor: Cynthia Landes, MPH, MA Cynthia is an educational therapist and special education advocate with extensive experience administering and training others in the use of the ASQ and PEDS measures. October 16, 2017 9:00 am - 4:00 pm (Class fee includes continental breakfast) This training is ideal for: MAT Assessors, Therapists, Home Visitors, Teachers, Child and Family Specialists $145 - Register online at www.ccrcca.org CCRC Annex 19809 Prairie Street, Suite 200, Chatsworth, CA 91311 For additional information contact us at (818) 717-1045 or [email protected] No refunds will be made for cancellations received less than 72 hours before the workshop. www.ccrcca.org

Upload: hoangcong

Post on 31-Aug-2018

225 views

Category:

Documents


0 download

TRANSCRIPT

Register online at www.ccrcca.org or fax this form to (818) 717-8799Please PRINT clearly and complete one form for each participant

Name Company Title

Address City State Zip

Phone Email

VISA MasterCard I will mail a check

Credit Card Number (back of card) Expiration Date Amount

Cardholder’s Name Billing Address

$

Mail to: Child Care Resource CenterAttn: Nina Ruiz 20001 Prairie StreetChatsworth, CA 91311

Ages and Stages Developmental Screening (ASQ-3) &Ages and Stages Questionnaires Social-Emotional (ASQ:SE-2)

October 16, 2017 9:00am - 4:00pm

At this introductory-level training you will learn how to:• Administer and score the ASQ-3 and ASQ:SE-2

• Screen children to identify those at-risk or in need of support

• Engage parents in screening their children

• Talk to parents about screening results

• Make referrals to community resources

AGES AND STAGES DEVELOPMENTAL SCREENING (ASQ-3) & AGES AND STAGES QUESTIONNAIRES SOCIAL-EMOTIONAL (ASQ:SE-2)

Instructor: Cynthia Landes, MPH, MACynthia is an educational therapist and special education advocate with extensive experience administering and training others in the use of the ASQ and PEDS measures.

October 16, 20179:00 am - 4:00 pm (Class fee includes continental breakfast)

This training is ideal for:MAT Assessors, Therapists, Home Visitors, Teachers, Child and Family Specialists

$145 - Register online at www.ccrcca.org

CCRC Annex19809 Prairie Street, Suite 200, Chatsworth, CA 91311

For additional information contact us at (818) 717-1045 or [email protected]

No refunds will be made for cancellations received less than 72 hours before the workshop. www.ccrcca.org