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 THERE’S ONLY ONE MIZZOU  Registration Form Thompson Center 2011 1 st Annual Southeast Missouri Autism Conference Name: __ ____ ____ ____ ______ ____ ____ ____ ____ ____ Organization: __ ______ ____ ____ ____ ____ ____ ____ Address: ___________________________ Ci ty: _______ ______ ____ ____ ____ ____ ______ ____ ___ St at e: ________ __ Zip: ____ ____ ______ ____ ____ ___ Dayt ime phone: ___ __ __ ____ Emai l: __ __ __ __ __  Conference Informati on: Registration table will be open from 7:00-8:15am each day of the conference Please check the following based on your attendance to the conference:  Attending both days Only Thursday (6/24) Only Friday (6/24) On the following page, please check your preference for specific workshops on Thursday afternoon and Friday. How to Register: 1. Online at:  www.semissouriautism.com  (complete registration online and email to [email protected] ) 2. Mail completed form (2 pages) to:  Thompson Center c/o Leanne Hopper 611 N. Fountain St. Cape Girardeau, MO 63701 3. Fax completed form (2 pages) to:  (573) 986 -4994 Registration Questions: If you have any questions about this form or how to register please call Jamie Brazer @ MU Thompson Center at (573) 225-5828 or email  [email protected]  

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THERE’S ONLY ONE MIZZOU 

Registration Form

Thompson Center 2011 1st Annual Southeast Missouri Autism Conference

Name: ________________________________________ Organization: ________________________________

Address: ______________________________________________________________________________________________ City: __________________________________________ State: __________ Zip: _________________________

Daytimephone: _____________________________ Email: ________________________________________  Conference Information: Registration table will be open from 7:00-8:15am each day of theconference

Please check the following based on your attendance to the conference:  Attending both days Only Thursday (6/24) Only Friday (6/24)

On the following page, please check your preference for specific workshopson Thursday afternoon and Friday.

How to Register:1.  Online at:  www.semissouriautism.com (complete registration online and 

email to [email protected]

2.  Mail completed form (2 pages) to: 

Thompson Center

c/o Leanne Hopper

611 N. Fountain St.

Cape Girardeau, MO 63701

3.  Fax completed form (2 pages) to: 

(573) 986 -4994

Registration Questions:If you have any questions about this form or how to register please call Jamie Brazer @MU Thompson Center at (573) 225-5828 or email [email protected] 

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8/6/2019 SE Autism Conference 2-Pg Registration

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UNIVERSITY of   MISSOURITHOMPSON CENTER FOR AUTISM & NEURODEVELOPMENTAL DISORDERS

 

Thursday, June 23, 20118:00-8:45amKeynote Speaker

Morning Workshop:

9:00am-12:00pmJose Martinez-Diaz, Ph.D, BCBA-D

 Florida Institute of TechnologyAssessing Negative Behavior: Taking a Functional

Approach

 Afternoon Sessions (please check one):

  ____#1 1:00-4:00pm

Jose Martinez-Diaz, Ph.D BCBA-D

 Florida Institute of Technology

Advanced Applied Behavior Analysis topic

 _____ #2 1:00-4:00pmAaron Likens

Touchpoint Finding Kansas

Friday, June 24, 20118:00-8:45am

Keynote Speaker, Janet Farmer, Ph.D, ABPP

MU – Thompson Center Advances in Autism Research: Putting the PiecesTogether 

Morning Sessions: (please check one)

  ____#1 9:00am-11:00amKaren Allan, M.EdMU – Thompson Center 

Autism Spectrum Disorder: Transition toAdulthood

  ____#2 9:00am-11:00am

Melinda Henson, M.Ed, BCBAMU – Thompson Center 

Determining LRE for young children with ASD

  _____#3 9:00-11:00amHeather Lewis, MSW, Ed.S, BCBA

 Independent Consultant 

Fluency: Increasing Maintenance, Skill

Performance, and Generalization in ABA based programs

(continued) Friday, June 24, 2011

 Afternoon Sessions I (please check one):

  ____#1 12:30-2:00pm

Angela Nelson, MBA

Missouri Department of Insurance Navigating through Autism Insurance

Reform in Missouri

  ____#2 12:30-2:00pm

Jamie Severtson, Ph.D, BCBA-D

MU – Thompson Center 

Behavior Skills Training

  ____#3 12:30-2:00pm

Justin B. Leaf, Ph.D, BCBA

Great Strides Behavioral Consulting 

Evaluating Different Procedures to TeachSocial Skills to Children and Adolescents

Diagnosed with an Autism SpectrumDisorder 

 Afternoon Sessions I (please check one)I:

  ____#1 2:15-4:00pmTodd Streff, MS, BCBA

Great Strides Behavioral Consulting Language as the Key: Teaching Verbal

Behavior to Children with Autism

 _____ #2 2:15-4:00pmConnie Hebert, MS Ed

Southeast Missouri Autism Center Helping Individuals Learn to Regulate Their 

Own Behavior 

 _____ #3 2:15-4:00pmMartha Polen, MA, CCC & Mandy

Deimund, TVI, COMS

Cape Girardeau Public Schools

The iPad: Communication, Therapy, andLeisure Tool is it Right for My Child?