SKI-HI* TN Deaf Mentor Training Registration

Contact Information

First Name*

Answer required for "First Name"

Middle Name*

Answer required for "Middle Name"

Last Name*

Answer required for "Last Name"

Title (Mr., Mrs., PhD, Dr., Esq., ect.)*

Answer required for "Title (Mr., Mrs., PhD, Dr., Esq., ect.)"

Email 1*

Answer required for "Email 1"

Email 2

Answer required for "Email 2"

Mobile Phone*

Answer required for "Mobile Phone"

Video Phone

Answer required for "Video Phone"

Work Phone

Answer required for "Work Phone"

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

County*

Answer required for "County"

Regristration for Orientation Meetings

Preferred Date and Time for Pre- Orientation Meeting*

Answer required for "Preferred Date and Time for Pre- Orientation Meeting"

Group 1: Saturday, August 24 / 6:00 - 6:45 PM EST

Group 2: Sunday, August 25 / 7:00 - 7:45 PM EST

Preferred Date and Time for Orientation Meeting with SKI-HI*

Answer required for "Preferred Date and Time for Orientation Meeting with SKI-HI"

Group 1: Tuesday, August 27 / 6:30 - 7:15 PM EST

Group 2: Tuesday, August 27 / 7:15 - 8:30 PM EST

All candidates are required to appear at SKI-HI* Deaf Mentor Training on September 6, 7, 8 from 8:15 AM - 4:30 PM daily.

Documentation of Skills

Do you have a certification in ASL training?*

Answer required for "Do you have a certification in ASL training?"

Yes

In process

In-complete

Do you have a certification in Deaf Studies training?*

Answer required for "Do you have a certification in Deaf Studies training?"

Yes

In process

In-complete

Do you have a national / RID Certification as a Certified Interpreter for the Deaf?*

Answer required for "Do you have a national / RID Certification as a Certified Interpreter for the Deaf?"

Yes

In process

In-complete

Do you have an ASLPI documentation / score?*

Answer required for "Do you have an ASLPI documentation / score?"

Yes

In process

In-complete

Do you have early intervention training with specialization in families & their young deaf / hard of hearing / deaf-blind children?*

Answer required for "Do you have early intervention training with specialization in families & their young deaf / hard of hearing / deaf-blind children?"

Yes

In process

In-complete

Do you have Shared Reading Project training?*

Answer required for "Do you have Shared Reading Project training?"

Yes

In process

In-complete

Do you have early childhood training, certification, or degree?*

Answer required for "Do you have early childhood training, certification, or degree?"

Yes

In process

In-complete

Have you participated in a ZOOM meeting before?*

Answer required for "Have you participated in a ZOOM meeting before?"

Yes

Do you have ZOOM on your computer with a camera / mic?*

Answer required for "Do you have ZOOM on your computer with a camera / mic?"

Yes

Other Information

Do you have a state-issued driver's license? Required for entry on TSD's campus.*

Answer required for "Do you have a state-issued driver's license? Required for entry on TSD's campus."

Yes

Do you need overnight accommodations in Knoxville?*

Answer required for "Do you need overnight accommodations in Knoxville?"

Yes

Do you have food allergies or special dietary needs?*

Answer required for "Do you have food allergies or special dietary needs?"

Please list other special accommodations you need.

Answer required for "Please list other special accommodations you need."

Please fix the highlighted areas below before submitting.

SKI-HI* TN Deaf Mentor Training Registration