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WHAT YOU’LL LEARNTake your ASQ knowledge to the next level with this in-depth, step-by-step seminar—everything you need to know for instructing your colleagues in using Ages & Stages Questionnaires®, Third Edition (ASQ-3™), and the NEW Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™) to screen infants and young children. This thorough seminar shows you how to

•implement ASQ-3™ and ASQ:SE-2™ effectively •score questionnaires and interpret results•identify developmental warning signs •discuss results sensitively with families•understand the referral process •work with families from diverse cultural backgrounds•teach others within your organization how to successfully use ASQ-3™ and ASQ:SE-2™

While at the Institute, you’ll receive instruction from ASQ experts, practice forms, case studies, and a binder with handouts for conducting trainings within your organization. Upon your successful completion of the Institute, a certificate of attendance and a USB flash drive of training materials will be sent by mail.

WHO SHOULD ATTEND The Institute is designed for intermediate to advanced ASQ users who already oversee ASQ implementation and training within their organization; participants will leave the Institute prepared to instruct colleagues on ASQ-3™ and/or ASQ:SE-2™. However, new ASQ users also may find the Institute beneficial to their understanding and implementation of ASQ-3™ and/or ASQ:SE-2™. All participants will receive valuable information to advance their skill level and knowledge of the tools.

INSTRUCTORS

2½-DAY SEMINARWednesday, August 5

8:30 a.m.—4:30 p.m.

Thursday, August 68:30 a.m.—4:30 p.m.

Friday, August 7*8:30 a.m.—2:00 p.m.

*includes a bonus session on ASQ Online

Full attendance is required for successful completion of the Institute.

Please plan your travel accordingly.

2TRAINING OF TRAINERS

INSTITUTEAugust 5—7, 2015

Philadelphia, PennsylvaniaDoubleTree by Hilton®

Philadelphia Center City

&

JANTINA CLIFFORD, PH.D., is Assistant Professor in the Early Intervention Program at the University of Oregon’s College of

Education. Jantina has been active in the research and development of both ASQ and ASQ:SE, as well as SEAM. She brings expertise from her 8 years as an early childhood educator to the professional development experience.

ELIZABETH TWOMBLY, M.S., is Adjunct Instructor, Special Education and Clinical Sciences, at the University of Oregon’s

College of Education. Liz has been involved in the ASQ project for over 10 years, most currently as a senior research assistant in the development of ASQ:SE.

SUE YOCKELSON, PH.D., is Assistant Professor of Special Education at Brandman University. Sue received her degree from the

University of Oregon Early Intervention Program and has a background in education for typically and atypically developing children. Sue provides instruction on developmental screening of young children using ASQ.

EARLY BIRD REGISTRATION DISCOUNT: Register by April 30, 2015, to get $50 off registration! Discount does not apply to group registrations of 4+ people.

NEW

Your first opportunity to receive training on the NEW ! 2

NE

W

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TR

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ugust 5

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Your first o

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Don’t m

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Brookes P

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P.O. B

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altimore, M

D 21285-0624

WHAT YOU’LL LEARNTake your ASQ knowledge to the next level with this in-depth, step-by-step seminar—everything you need to know for instructing your colleagues in using Ages & Stages Questionnaires®, Third Edition (ASQ-3™), and the NEW Ages & Stages Questionnaires®: Social-Emotional, Second Edition (ASQ:SE-2™) to screen infants and young children. This thorough seminar shows you how to

• implement ASQ-3™ and ASQ:SE-2™ effectively • score questionnaires and interpret results• identify developmental warning signs • discuss results sensitively with families• understand the referral process • work with families from diverse cultural backgrounds• teach others within your organization how to successfully use ASQ-3™ and ASQ:SE-2™

While at the Institute, you’ll receive instruction from ASQ experts, practice forms, case studies, and a binder with handouts for conducting trainings within your organization. Upon your successful completion of the Institute, a certificate of attendance and a USB flash drive of training materials will be sent by mail.

WHO SHOULD ATTEND The Institute is designed for intermediate to advanced ASQ users who already oversee ASQ implementation and training within their organization; participants will leave the Institute prepared to instruct colleagues on ASQ-3™ and/or ASQ:SE-2™. However, new ASQ users also may find the Institute beneficial to their understanding and implementation of ASQ-3™ and/or ASQ:SE-2™. All participants will receive valuable information to advance their skill level and knowledge of the tools.

INSTRUCTORS

2½-DAY SEMINARWednesday, August 5

8:30 a.m.—4:30 p.m.

Thursday, August 68:30 a.m.—4:30 p.m.

Friday, August 7*8:30 a.m.—2:00 p.m.

*includes a bonus session on ASQ Online

Full attendance is required for successful completion of the Institute.

Please plan your travel accordingly.

2TRAINING OF TRAINERS

INSTITUTEAugust 5—7, 2015

Philadelphia, PennsylvaniaDoubleTree by Hilton®

Philadelphia Center City

&

JANTINA CLIFFORD, PH.D., is Assistant Professor in the Early Intervention Program at the University of Oregon’s College of

Education. Jantina has been active in the research and development of both ASQ and ASQ:SE, as well as SEAM. She brings expertise from her 8 years as an early childhood educator to the professional development experience.

ELIZABETH TWOMBLY, M.S., is Adjunct Instructor, Special Education and Clinical Sciences, at the University of Oregon’s

College of Education. Liz has been involved in the ASQ project for over 10 years, most currently as a senior research assistant in the development of ASQ:SE.

SUE YOCKELSON, PH.D., is Assistant Professor of Special Education at Brandman University. Sue received her degree from the

University of Oregon Early Intervention Program and has a background in education for typically and atypically developing children. Sue provides instruction on developmental screening of young children using ASQ.

EARLY BIRD REGISTRATION DISCOUNT: Register by April 30, 2015, to get $50 off registration! Discount does not apply to group registrations of 4+ people.

NEW

Your first opportunity to receive training on the NEW !2

NE

W

NEW

BOL2015.indd 11/13/15 10:07 AM

REGISTRATION FORMRegistration is open until July 14, 2015, or until we reach capacity.

INDIVIDUAL—Complete this form and mail, email, or fax with payment to Brookes On Location, P.O. Box 10624, Baltimore, MD 21285-0624, USA, seminars@brookespublishing.com, or FAX 443-279-0976. To register online, go to http://bit.ly/ASQInstitReg.

GROUPS—Send 4+ PEOPLE & SAVE! Group Registration Form and pricing can be found online at www.brookesonlocation.com/asq-institute. PRINT CLEARLY

Name ___________________________________________________________________________________________________________________

Title _____________________________________________________________________________________________________________________

Organization ______________________________________________________________________________________________________________

Address _________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________m residential m business

City ___________________________________ State ________ ZIP / Postal Code___________________ Country _________________________

Daytime Phone _________________________ Fax ___________________________________________________________________________

Email (REQUIRED for Institute communication purposes) ________________________________________________________________________m Yes! I want to receive email about new titles & special offers. (Your email address will not be shared with any other party.)

PAYMENT METHOD

m Check enclosed (payable to Brookes Publishing Co.) m Purchase Order # (must be attached) ______________________

m Discover (16 digits) m MasterCard (16 digits) m Visa (13 or 16 digits) m American Express (15 digits)

Credit card account number ________________________________________________________________________________________________

Security code (3 or 4 digit code on back of card) ________________________________________________ Expiration date (mo/yr) _________________________

Name as it appears on credit card ___________________________________________________________________________________________

Signature ________________________________________________________________________________________________________________

REGISTRATION FEES

ASQ-3™ & ASQ:SE-2™ Training of Trainers Institute, August 5-7, 2015, Philadelphia, PA

q Early Bird Registration, ends April 30, 2015 US$925.00 q Standard Registration, May 1, 2015, or later US$975.00*

*This form is for INDIVIDUAL registration only. For GROUPS of 4+, visit www.brookesonlocation.com/asq-institute to download the group registration form and pricing.

BONUS SESSION!

Registration will include a bonus session for ASQ Online on Friday, August 7. Our ASQ Online expert will provide a live demo of the management system. You’ll see how easy it is to enter and score a questionnaire online, how ASQ Family Access works, and how to run reports. It’s a great chance to ask questions and learn more about this time-saving, user-friendly system.

PRAISE FOR THE ASQ TRAINING INSTITUTE:

“I would recommend [the Institute]. I currently do provide training but I gained new insights and activities to incorporate and use. Great use of my time.”

—Evette Callahan, Ph.D., Coordinator Assessment & Family

Involvement, San Diego County Office of Education, California

“The ASQ information equipped me to provide a good foundation for my colleagues. The Brookes staff has truly taken care of the participants’ needs.”

—Debbie Mickey, Education/Curriculum Specialist, Butler County ESC, Ohio

“This training helped to refresh our [program’s] understanding of each tool and provided additional insight on how to integrate usage across service areas.”

—Debra Barrett, Program Coordinator of Education Services, Y of Central Maryland,

Baltimore County Head Start, Perry Hall, Maryland

“Very thorough and well presented.”

—Nancy Ezra, Ph.D., Director, Children’s Institute, Inc., Los Angeles, California

Demand is high and space is limited, so register early to ensure your space at the Institute. We are not able to hold registrations without payment nor are we able to accept on-site registration.

Full attendance is required for successful completion of the Institute. Please plan your travel accordingly.

IMPORTANT NOTE: MATERIALS ARE REQUIRED: Participants must bring the ASQ-3™ User’s Guide to the Institute. Participants should pre-order a copy of the ASQ:SE-2™ User’s Guide, which is scheduled for publication in August 2015. Selected portions of the ASQ:SE-2™ User’s Guide that are needed for the Institute will be provided with your training materials; however, participants are required to purchase a copy of the ASQ:SE-2™ User’s Guide to ensure they have the necessary information for implementation of ASQ:SE-2™.

Participants from the same program may share Guides. Please purchase your Guides from Brookes Publishing and bring to the Institute. A pre-Institute discount of 20% will be provided with your registration confirmation. Order by phone at 1-800-638-3775 or online at www.brookespublishing.com. For U.S. customers, orders MUST be received by 4:00 p.m. EST on July 10, 2015; otherwise RUSH shipping charges may apply. For outside the U.S., including Canada, orders MUST be received by 4:00 p.m. EST on June 19, 2015 (international RUSH shipping may be required).

MATERIALS PROVIDED: While at the Institute, participants will receive practice forms, case studies, and handouts. For those participants who successfully complete the Institute, a certificate of attendance as well as a USB flash drive of training materials will be sent by mail. Please note: The USB flash drive of training materials will not be available at the Institute.

PRODUCT DISCOUNTS: After registering for the Institute, participants will receive an email confirmation which will include a 20% discount code valid for purchases of ASQ materials made prior to the Institute. Please allow one week after submitting your registration to receive your confirmation email with the discount code. While at the Institute, participants will receive a 10% discount coupon to apply to a future ASQ order when placed within six weeks of the Institute. Neither discount applies to online products such as ASQ Online.

REGISTRATION PROCESSING AND CONFIRMATION: Registrations will not be processed or confirmed until payment or purchase order has been received. Purchase orders must either accompany the registration form or be received within five business days of the registration form and no later than July 14, 2015. All registrations will be confirmed by email within one week of receipt of registration and payment. It is strongly recommended that you do not make travel arrangements (including non-refundable airline reservations) until you have received your written confirmation notice. Due to limited seating, registration may close before the registration deadline of July 14, 2015; please register early.

CANCELLATION POLICIES: Brookes Publishing reserves the right to cancel the Institute and will inform registrants by July 14, 2015. Should the Institute be cancelled, full refunds of the registration fee will be issued; Brookes Publishing will not refund for expenses above

the cost of registration. Should you be unable to attend the Institute after registering, you must notify Brookes Publishing before July 14, 2015, by mail, fax, or email in order to receive a 75% refund. No refunds will be available after July 14, 2015, but organizations may choose to send substitutes, space permitting. Substitutes must be declared and must complete a registration form at least three business days before the Institute.

SCHEDULE CHANGES: Brookes Publishing reserves the right to substitute instructors, adjust training times, and/or reschedule the Institute. Advance notice will be provided to the extent possible.

MEALS/REFRESHMENTS: Continental breakfast, lunch, and refreshment breaks will be provided for Institute participants.

LODGING:DoubleTree by Hilton® Philadelphia Center City 237 South Broad StreetPhiladelphia, Pennsylvania 19107 USATel: 215-893-1600Fax: 215-893-1664www.Philadelphia.DoubleTree.com

Reservations must be made directly with the DoubleTree by Hilton® Philadelphia Center City no later than July 14, 2015. A limited number of rooms have been reserved at the DoubleTree by Hilton® Philadelphia Center City for a discounted rate of $165.00 per night plus taxes. To qualify for the discounted rate, make your reservation no later than July 14, 2015; specify BROOKES PUBLISHING and ASQ-3 & ASQ:SE TRAINING OF TRAINERS INSTITUTE when making your reservation by phone at 888-421-1442 or online at https://resweb.passkey.com/go/ASQSETOTInstitute. Rates are for single or double occupancy rooms and do not include applicable state and local taxes, surcharges, parking, or other incidental fees. Prior to sending or bringing an organization check to the hotel, please inquire as to their check acceptance policies. Check-in is 3:00 p.m.; check-out is 12:00 p.m. Parking is available for an additional fee and is subject to applicable tax. All DoubleTree by Hilton® policies prevail.

TRAVEL: The DoubleTree by Hilton® Hotel Philadelphia Center City is 9 miles from Philadelphia International Airport (PHL). PHL offers rental cars, taxis, and shuttle service. See the hotel website for details and directions.

ALTERNATE LODGING: Email seminars@brookespublishing.com.

SPECIAL ACCOMMODATIONS: We’ll do our best to accommodate your request. Email seminars@brookespublishing.com.

QUESTIONS? Email seminars@brookespublishing.com or call 1-800-638-3775. For information on other Brookes On Location seminars, see www.brookesonlocation.com.

Ages & Stages Questionnaires® is a registered trademark and ASQ-3™, ASQ:SE-2™, and the ASQ logos are trademarks of Paul H. Brookes Publishing Co., Inc.

Registration is open until July 14, 2015, or until we reach capacity.*Demand is high and seating is limited; register early to ensure your space. We cannot guarantee that seating will be available through the registration deadline of July 14, 2015. Payment must accompany your registration form; we are not able to hold your space without purchase order or payment. On-site registration at the Institute is not available. *We do not recommend that you book non-refundable flights or hotel reservations until you receive confirmation of your Institute registration.

2

Grace

BOL2015.indd 2 1/13/15 10:07 AM

REGISTRATION FORMRegistration is open until July 14, 2015, or until we reach capacity.

INDIVIDUAL—Complete this form and mail, email, or fax with payment to Brookes On Location, P.O. Box 10624, Baltimore, MD 21285-0624, USA, seminars@brookespublishing.com, or FAX 443-279-0976. To register online, go to http://bit.ly/ASQInstitReg.

GROUPS—Send 4+ PEOPLE & SAVE! Group Registration Form and pricing can be found online at www.brookesonlocation.com/asq-institute. PRINT CLEARLY

Name ___________________________________________________________________________________________________________________

Title _____________________________________________________________________________________________________________________

Organization ______________________________________________________________________________________________________________

Address _________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________m residential m business

City ___________________________________ State ________ ZIP / Postal Code___________________ Country _________________________

Daytime Phone _________________________ Fax ___________________________________________________________________________

Email (REQUIRED for Institute communication purposes) ________________________________________________________________________m Yes! I want to receive email about new titles & special offers. (Your email address will not be shared with any other party.)

PAYMENT METHOD

m Check enclosed (payable to Brookes Publishing Co.) m Purchase Order # (must be attached) ______________________

m Discover (16 digits) m MasterCard (16 digits) m Visa (13 or 16 digits) m American Express (15 digits)

Credit card account number ________________________________________________________________________________________________

Security code (3 or 4 digit code on back of card) ________________________________________________ Expiration date (mo/yr) _________________________

Name as it appears on credit card ___________________________________________________________________________________________

Signature ________________________________________________________________________________________________________________

REGISTRATION FEES

ASQ-3™ & ASQ:SE-2™ Training of Trainers Institute, August 5-7, 2015, Philadelphia, PA

q Early Bird Registration, ends April 30, 2015 US$925.00 q Standard Registration, May 1, 2015, or later US$975.00*

*This form is for INDIVIDUAL registration only. For GROUPS of 4+, visit www.brookesonlocation.com/asq-institute to download the group registration form and pricing.

BONUS SESSION!

Registration will include a bonus session for ASQ Online on Friday, August 7. Our ASQ Online expert will provide a live demo of the management system. You’ll see how easy it is to enter and score a questionnaire online, how ASQ Family Access works, and how to run reports. It’s a great chance to ask questions and learn more about this time-saving, user-friendly system.

PRAISE FOR THE ASQ TRAINING INSTITUTE:

“I would recommend [the Institute]. I currently do provide training but I gained new insights and activities to incorporate and use. Great use of my time.”

—Evette Callahan, Ph.D., Coordinator Assessment & Family

Involvement, San Diego County Office of Education, California

“The ASQ information equipped me to provide a good foundation for my colleagues. The Brookes staff has truly taken care of the participants’ needs.”

—Debbie Mickey, Education/Curriculum Specialist, Butler County ESC, Ohio

“This training helped to refresh our [program’s] understanding of each tool and provided additional insight on how to integrate usage across service areas.”

—Debra Barrett, Program Coordinator of Education Services, Y of Central Maryland,

Baltimore County Head Start, Perry Hall, Maryland

“Very thorough and well presented.”

—Nancy Ezra, Ph.D., Director, Children’s Institute, Inc., Los Angeles, California

Demand is high and space is limited, so register early to ensure your space at the Institute. We are not able to hold registrations without payment nor are we able to accept on-site registration.

Full attendance is required for successful completion of the Institute. Please plan your travel accordingly.

IMPORTANT NOTE: MATERIALS ARE REQUIRED: Participants must bring the ASQ-3™ User’s Guide to the Institute. Participants should pre-order a copy of the ASQ:SE-2™ User’s Guide, which is scheduled for publication in August 2015. Selected portions of the ASQ:SE-2™ User’s Guide that are needed for the Institute will be provided with your training materials; however, participants are required to purchase a copy of the ASQ:SE-2™ User’s Guide to ensure they have the necessary information for implementation of ASQ:SE-2™.

Participants from the same program may share Guides. Please purchase your Guides from Brookes Publishing and bring to the Institute. A pre-Institute discount of 20% will be provided with your registration confirmation. Order by phone at 1-800-638-3775 or online at www.brookespublishing.com. For U.S. customers, orders MUST be received by 4:00 p.m. EST on July 10, 2015; otherwise RUSH shipping charges may apply. For outside the U.S., including Canada, orders MUST be received by 4:00 p.m. EST on June 19, 2015 (international RUSH shipping may be required).

MATERIALS PROVIDED: While at the Institute, participants will receive practice forms, case studies, and handouts. For those participants who successfully complete the Institute, a certificate of attendance as well as a USB flash drive of training materials will be sent by mail. Please note: The USB flash drive of training materials will not be available at the Institute.

PRODUCT DISCOUNTS: After registering for the Institute, participants will receive an email confirmation which will include a 20% discount code valid for purchases of ASQ materials made prior to the Institute. Please allow one week after submitting your registration to receive your confirmation email with the discount code. While at the Institute, participants will receive a 10% discount coupon to apply to a future ASQ order when placed within six weeks of the Institute. Neither discount applies to online products such as ASQ Online.

REGISTRATION PROCESSING AND CONFIRMATION: Registrations will not be processed or confirmed until payment or purchase order has been received. Purchase orders must either accompany the registration form or be received within five business days of the registration form and no later than July 14, 2015. All registrations will be confirmed by email within one week of receipt of registration and payment. It is strongly recommended that you do not make travel arrangements (including non-refundable airline reservations) until you have received your written confirmation notice. Due to limited seating, registration may close before the registration deadline of July 14, 2015; please register early.

CANCELLATION POLICIES: Brookes Publishing reserves the right to cancel the Institute and will inform registrants by July 14, 2015. Should the Institute be cancelled, full refunds of the registration fee will be issued; Brookes Publishing will not refund for expenses above

the cost of registration. Should you be unable to attend the Institute after registering, you must notify Brookes Publishing before July 14, 2015, by mail, fax, or email in order to receive a 75% refund. No refunds will be available after July 14, 2015, but organizations may choose to send substitutes, space permitting. Substitutes must be declared and must complete a registration form at least three business days before the Institute.

SCHEDULE CHANGES: Brookes Publishing reserves the right to substitute instructors, adjust training times, and/or reschedule the Institute. Advance notice will be provided to the extent possible.

MEALS/REFRESHMENTS: Continental breakfast, lunch, and refreshment breaks will be provided for Institute participants.

LODGING:DoubleTree by Hilton® Philadelphia Center City 237 South Broad StreetPhiladelphia, Pennsylvania 19107 USATel: 215-893-1600Fax: 215-893-1664www.Philadelphia.DoubleTree.com

Reservations must be made directly with the DoubleTree by Hilton® Philadelphia Center City no later than July 14, 2015. A limited number of rooms have been reserved at the DoubleTree by Hilton® Philadelphia Center City for a discounted rate of $165.00 per night plus taxes. To qualify for the discounted rate, make your reservation no later than July 14, 2015; specify BROOKES PUBLISHING and ASQ-3 & ASQ:SE TRAINING OF TRAINERS INSTITUTE when making your reservation by phone at 888-421-1442 or online at https://resweb.passkey.com/go/ASQSETOTInstitute. Rates are for single or double occupancy rooms and do not include applicable state and local taxes, surcharges, parking, or other incidental fees. Prior to sending or bringing an organization check to the hotel, please inquire as to their check acceptance policies. Check-in is 3:00 p.m.; check-out is 12:00 p.m. Parking is available for an additional fee and is subject to applicable tax. All DoubleTree by Hilton® policies prevail.

TRAVEL: The DoubleTree by Hilton® Hotel Philadelphia Center City is 9 miles from Philadelphia International Airport (PHL). PHL offers rental cars, taxis, and shuttle service. See the hotel website for details and directions.

ALTERNATE LODGING: Email seminars@brookespublishing.com.

SPECIAL ACCOMMODATIONS: We’ll do our best to accommodate your request. Email seminars@brookespublishing.com.

QUESTIONS? Email seminars@brookespublishing.com or call 1-800-638-3775. For information on other Brookes On Location seminars, see www.brookesonlocation.com.

Ages & Stages Questionnaires® is a registered trademark and ASQ-3™, ASQ:SE-2™, and the ASQ logos are trademarks of Paul H. Brookes Publishing Co., Inc.

Registration is open until July 14, 2015, or until we reach capacity.*Demand is high and seating is limited; register early to ensure your space. We cannot guarantee that seating will be available through the registration deadline of July 14, 2015. Payment must accompany your registration form; we are not able to hold your space without purchase order or payment. On-site registration at the Institute is not available. *We do not recommend that you book non-refundable flights or hotel reservations until you receive confirmation of your Institute registration.

2

Grace

BOL2015.indd 2 1/13/15 10:07 AM

Open to learn more!

TRAINING OF TRAINERS INSTITUTEAugust 5–7, 2015 | Philadelphia, PA

& 2

Your first opportunity to receivetraining on the NEW !2

Don’t miss out!

Brookes Publishing Co.P.O. Box 10624Baltimore, MD 21285-0624

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