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EHDI-IS Trainings
Registration Form: EHDI-IS
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EHDI – Information System (EHDI-IS) Training
This is a half day workshop on how the EHDI-IS can be used to successfully manage hearing and vision screening programs.
Upcoming Schedule
Below is a list of training dates currently planned. Please indicate which one you are registering for.
*
Cheyenne; 10/17/2022, 9am-12pm (LCSD#1 Admin Bldg, Room 326, 2810 House Avenue, Cheyenne)
Registration Form
Name
*
First
Last
Email
*
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Job Title
*
Parent
Speech Language Pathologist
Hearing Screener
Hearing Screening Aide
Hearing Screening Teacher
Hearing Screening Technician
Early Childhood Aide
Early Childhood Teacher
Family Service Coordinator
Nurse – Hospital Nursery
Nurse – Public Health
Nurse – Other
Sign Language Interpreter
Teacher of the Deaf and Hard of Hearing
University/College Faculty
Student
Audiologist – Clinical
Audiologist – Educational
Administrator
Other
Job Title – Other
If other, please specify.
Employment Setting
*
Child Development Center
Head Start
Hospital
Physicians Office
Private Business
School District
University/College
Other
Employment Setting – Other
If other, please specify.
How many years of EHDI-IS experience do you have?
*
No experience
Less than 1 year
1 year
2 years
3 years
4 years
5 years
6-10 years
>10 years
Work Mailing Address
*
Street Address
Address Line 2
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South Carolina
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Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
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Why are you attending this training?
*
Personal/Professional Growth
Recertification Credit
Required To Attend
Other
Why are you attending this training – Other
If other, please specify.
Are there any specific topics you would like addressed at this training?
Please tell us your responsibilities when it comes to the EHDI-IS.
Accommodations are available for persons with disabilities. Please list any services you need.
Other special accommodations? Comments, concerns, or questions?
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