Special Services Professional Development Academy Membership Form (2025-26) | School of Education

Beginning this year, membership is on an individual, per person basis. Topics will be on timely issues directly related to matters of interest to attendees. In person sessions run from 12:30-2:30 p.m. and include lunch.

The cost to register is $75 per person for each in person session and $50 per person for each virtual session. A discounted package rate of $200 is available when you sign up for all four sessions.

Please note: This year, the Special Services Academy and the BCBA Roundtable will be two separate events held on different dates in order to accommodate requests by many of our attendees. Please visit BCBA Roundtable for more information.

Registration

Note: Please fill out one form for each participant.

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Membership Season

Which sessions will you attend?

Session 1 – Sept. 25, 2025 (In-Person)

Session 2 – Dec. 11, 2025 (Virtual)

Session 3 – Feb. 19, 2026 (In-Person)

Session 4 – April 2026 (Virtual)

Completer Information

Please note: This will be your primary contact person for future communications.

Name(Required)

Please provide the full Name and Email Address of the person who is completing this registration form.

First Last

Email(Required)

Participant Information

Please provide the information below for the person who will be attending the event.

Participant's Name(Required)

First Last

Email(Required)

Phone Number(Required)

Position Title(Required)

School District or Agency(Required)

Address(Required)

Street Address City State ZIP Code

County(Required)

Director of Special Services Name(Required)

First Last

Billing/Invoice Contact Information

Please provide the information below for the person who will be responsible for payment.

Name(Required)

First Last

Email(Required)

Phone(Required)

Position Title(Required)

Address(Required)

Same as Participant's Address

Street Address City State ZIP Code

Payment Information

Total Amount Due

Is Your Purchase Order Number Available?(Required)

Yes

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