IDA of California

Identify Your Personal Development Needs in Early Intervention Your participation in this assessment is APPRECIATED. The information collected from this assessment will be used to identify topics for future educational workshops provided by IDA.
To select more than one item in the below categories: -MAC; Hold down the command/apple key and click the mouse on each item -PC; Hold down the control (ctrl) key and click the mouse on each item
My Early Childhood Connection is?
What is your discipline? (Choose up to three)
If you choose other, please describe:
What is your role? (Choose up to three)
If you choose other, please describe:
Where do you work?
List companies you purchase materials from:
Select the best set of days for you to attend a conference lasting 3-days:
I Need To Learn More About . . .
Family/Professional Collaboration
Assessment/Planning
Service Coordination
Environments
Type comments (ie. level of training needed)
Identify Your Personal Development Needs in Early Intervention
Curriculum
Program Administration
Career Support
Other areas of interest (please write down specifically what your needs are for the topic)
Type comments (ie. level of training needed)
Your Recommendations For Future Presenters Are. . . (If possible, provide ADDRESS, PHONE, OR EMAIL ADDRESS for each presenter suggested OR provide your ADDRESS, PHONE, OR EMAIL ADDRESS so we may contact you.)
Presenter Name, address, phone, email and topic addressed by presenter

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