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Department of Education
Speech/Language Weekends with the Experts
€
December 7-8, 2002
€
Altamonte Springs, Florida
€
Name of School District: _____________________________________________________________________
Address:__________________________________________________________________________________
Name of District Speech/Language Coordinator: __________________________________________________
Phone Number:______________________ Email: ____________________________________________
Do not register
more than the following number of participants per district for the workshop on December 7-8,
2002, in Altamonte Springs, Florida.
Number of participants:
Counties:
8 per very-large size district
(Dade, Broward, Hillsborough, Palm Beach, Orange, Duval, Pinellas)
6 per large size district
(Polk, Brevard, Volusia, Seminole, Lee, Pasco, Escambia)
4 per medium size district
(Marion, Manatee, Sarasota, Leon, Collier, Okaloosa, Osceola, Alachua, St.
Lucie, Lake, Clay, Bay, Santa Rosa, St. Johns)
2 per med-small size district
(Charlotte, Hernando, Martin, Citrus, Indian River, Putnam, Highlands, Nassau,
Monroe, Columbia, Gadsden, Jackson, Hendry)
1 per small size district
?
(Okeechobee, Levy, Flagler, Sumter, Walton, Suwannee, Hardee, Baker,
DeSoto, Wakulla, Bradford, Taylor, Holmes, Madison, Washington, Gilchrist,
Dixie, Union, Gulf, Calhoun, Hamilton, Jefferson, Franklin, Liberty, Glades,
Lafayette)
Participant's Name
Phone Number
1.
2.
3.
4.
5.
6.
7.
8.
___ The district Speech/Language Coordinator will attend the December 7-8, 2002, Weekends with the
Experts.
_____________________________________________________________________________________
Name
If there is space available, I have additional therapists who would like to attend this workshop (please list on an
additional sheet of paper).
************************************************************************************
€
Please mail or fax
no later than 11/18/02
to:
€
Sharon Alemar
€
CSPD Project, University of South Florida
€
140 7
th
Avenue South, SVB 108
€
St. Petersburg, FL 33701-5016
€
FAX 727-553-3180 Telephone 727-553-3182
€