ORTON GILLINGHAM ASSOCIATE LEVEL TRAINING - MULTISENSORY STRUCTURED LANGUAGE INSTRUCTIONTRAINING COURSE APPLICATION – fall/winter 2016 – A link to required readings and assignments will be available upon receipt of registration and payment.

Please return completed form to: liisafreure@og-msl.comor mail to: OG-MSL 115 Hanna Road, Toronto, ON M4G 3N5

ALL coursework is taught by a FellowLiisa Freure M.Ed., OCT, Fellow /AOGPE

DATES: Saturdays - Oct 1, Oct 22, Nov 5, Nov 19, 2016 9:00 am – 5:00 pm Saturdays - Jan 14, Feb 4, Feb 25, Apr 8, 2017

8 days64 hours total

COURSE LOCATION: Toronto – 125 Brentcliffe Road (Northlea United Church - Bayview/Eglinton - North Leaside)

PAYMENT: Payment is required in order to hold your spot as registration is limited and courses do fill up.Included in this is a $100 nonrefundable registration fee which is applied toward the course fee.Fee of $1695 ($1500 plus 13% HST) Paying by: cheque payable to Liisa Freure email transfer

Fee of $226/day ($200 plus 13% HST) * Amount:       Paying by: cheque payable to Liisa Freure email transfer

If paying by e-mail transfer please send to liisafreure@og-msl.com. Please text password with your name separately to 416-433-9580

This is a make-up day for a missed class * NO FEE Original date missed:      Please indicate days attending * Oct 1 Oct 22 Nov 5 Nov 19 Jan 14 Feb 4 Feb 25 Apr 8 *Advance arrangements required for this option

First Name:       Last Name:      

Address:       City:      

Province/State:       Postal/ZIP Code:      

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MSL/O-G or other training (please provide details):      

How did you hear about this course?      

Are you interested in completing the supervised practicum? (Separate arrangements to be made. Additional fees apply)      

Why are you interested in this course? Please write 2-3 paragraphs about what you hope to do with this training.      

A link to access the required reading list will be sent to you following receipt of payment and registration.All required materials will be included other than one training manual.Requirements for admission to Academy of Orton-Gillingham Practitioners and Educators (AOGPE) at the ASSOCIATE LEVEL:

- Completion of Associate Level Training (minimum of 60 hours of coursework)- Bachelor’s degree- Completion of Supervised Practicum totaling a minimum of 100 hours over a minimum period of eight months (to be arranged separately)- Minimum of 10 entire 40-60 minute lesson observations (on-site or video and if videoed, unedited)- Evidence of completion of Academy-required readings at the Associate level

Please go to: http://www.ortonacademy.org/certification.php for more information on Academy requirements for application