1. DISTRICT TEAM REGISTRATION   District: _______________________   

FLDOE Technical Assistance and Support:
How to Develop a District RtI Implementation Plan
Workshop 1-Critical Components of District RtI Implementation Plan
 
Who should attend: Superintendents/Assistant Superintendents, District Curriculum Leaders, Reading and Math
Supervisors (including Title I) Student Services and ESE Directors, ESOL Coordinators, Accountability Coordinators (district
assessments), Gifted Specialists, Personnel Developers, and Behavior Specialists.
 
DISTRICT TEAM REGISTRATION
 
 
District: _______________________
 
 
RtI Team Leader: ___________________________ _________________________
NAME Title
_________________________________ ________________________________
PHONE E-Mail
 
Team Members: ___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
___________________________ _________________________
NAME Title
 
Accommodations for participants with special needs: _________________________
 
__________________________________________________________________
_
   
Please indicate the session your team will be attending: PLEASE SELECT ONE regional location for entire
team. Announcements for Workshop 2 and Workshop 3 in this series forthcoming - Spring 2009.
 
Tues, Dec. 2, 2008 Thurs, Dec. 11, 2008 Mon, Dec. 15, 2008
8:30am – 4:00pm EST 8:30am – 4:00pm CST 8:30am – 4:00pm EST
Safe Schools Institute-Palm Beach Embassy Suites Hotel Clarion Airport Hotel/Conference Center
County 570 Scenic Gulf Drive 2101 Dixie Clipper Road
1790 NW Spanish River Blvd Destin, FL 32550 Jacksonville, FL 32218
Boca Raton, FL 33431 850-337-7000 904-741-1997
561-982-0900
 
Wed, Dec. 17, 2008 Thurs, Dec. 18, 2008
8:30am – 4:00pm EST 8:30am – 4:00pm EST
Holiday Inn Maingate East
Wingate Hotel
5711 West US Hwy 192 3751 E. Fowler Ave.
Kissimmee, FL 34746 Tampa, FL 33612
407-396-4222 813-979-2828
Please complete and fax this form no later than
Monday, November 24, 2008
to:
Stevi Schermond, PS/RtI State Project –
FAX: 813-974-7647
 

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