ALTA - Academic Language Therapy Association
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Event Submission Form

If your submission is for an event that is ongoing (such as monthly events, online training, etc.), please fill in the date and time fields with any value in order to submit.

Please fill out this form completely, and then click the Submit button when finished.

Fields in red are required.

Contact Info
Name:
Please be sure to include your credentials.
Email:
Daytime Phone:
Please enter in ###-###-#### format.
Event Info
Include in ALTA Calendar? Yes
No
Ongoing: Yes
No
Event Type: Continuing Education
Non-CEU
Event Title:
Start Date:
Please enter in mm/dd/yyyy format.
Start Time:
Please enter in hh:mm am/pm or 24 hour format.
End Date:
Please enter in mm/dd/yyyy format.
End Time:
Please enter in hh:mm am/pm or 24 hour format.
Location Name:
Location Address:
Location City:
Location State:
Location Zip:
Event Cost:
Sponsor Name:
This name should appear on Attendance Verification Form.
Sponsor Affiliation: Academic Language Therapy Association
ALTA Affiliated therapist training programs
International Dyslexia Association
Organization concerned with dyslexia and related learning disabilities
University or College
Individual
Other
If "Other", please fill in the next field.
Other Sponsor Information:
Only necessary if you selected "F: Other" above.
Number of Contact Hours (required):
One (1) Contact Hour = Sixty (60) minutes of direct instruction, lecture, seminar, or practical teaching.
Failure to enter a number will result in an error.
Number of Topic Areas:
Topics (Check All That Apply): Language and / or learning disorders
Applied multisensory practice and methodology
Curricula in academic language therapy
Research-medicine, psychology, education, linguistics
Professional practice, related laws and / or ethics of practice
Other
Briefly describe program, goals, and / or projected outcomes. Also describe topic area(s) from "Other" above, if applicable. This is the description that will show up on the ALTA Calendar if you have opted to publicize your event.
Presenter(s):

List degree, title, and professional affiliation.
 









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