ORTON GILLINGHAM ASSOCIATE LEVEL - MULTISENSORY STRUCTURED LANGUAGE INSTRUCTIONTRAINING COURSE APPLICATION – SUMMER 2016 – INTENSIVEPlease note that this intensive summer course requires some advanced study which includes some reading and several short assignments, prior to course commencement. In addition, registrants will be required to complete independent study and practice on the weekend of July 16/17 but there will be no classes on these days.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 Instructor: Liisa Freure M.Ed., OCT, Fellow /AOGPE

DATES: Monday – Friday – July 11, 12, 13, 14, 15, 2016 9:00 am – 5:00 pm Monday – Wednesday – July 18, 19, 20, 2016 9:00 am – 5:00 pm Saturday, July 16 & Sunday July 17, 2016 independent study and practice

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

This is a make-up day for a missed class * NO FEE Original date missed:      Please indicate days attending * July 11 July 12 July 13 July 14 July 15 July 18 July 19 July 20 *Advance arrangements required for this option

First Name:       Last Name:      

Address:       City:      

Province/State:       Postal/ZIP Code:      

Phone:       Email:      

Education:      

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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 in April 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