Basic Language Skills Introductory Course Application Summer 2020 Cohort

Basic Language Skills Course Dates & Times July 20-24, 2020 -and- July 27-31, 2020 8:30 am – 3:30 pm

Reading Readiness Prerequisite Course 

*This is a separate course & will be available for registration once your application is approved.

May 15, 2020 8:30 am – 3:30 pm

Dates & Times for two follow-up classes (BLS 1A and BLS 1B) TBD Spring 2020

These classes are included in the Introductory Course Fees

*Limited spaces available

Applicant’s Contact Information

Employer

Certifications

Education

Professional References

An email requesting your reference will be sent to the email address you provide, as well as to yours.

Reference #1

Reference #2

Acknowledgement

By signing below, I acknowledge that I understand that letters of recommendation are submitted as part of the selection criteria for admission to the KSALT Training & Preparation and I hereby expressly and voluntarily waive any and all access rights I might have to such recommendations under the Federal Family Educational Rights and Privacy Act (FERPA), any state law, or any other laws, regulations or policies.
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Additional Requirements

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3. I hereby state all information provided on this form and in the attached materials is true and complete. I understand that any false statement may be cause for exclusion from this program.

4. Statement of Financial Commitment: I understand and agree upon the payment terms of the Key School Academic Language Therapy (KSALT) Training & Preparation Program as itemized below:

BLS Deposit * • $500.00 – due upon official acceptance to the program.

Course** • $2,275.00 ($1,775.00 after deposit is paid) Balance is due on or before June 15, 2020 or deposit is forfeited.

*Please note the Application Fee is non-refundable, the Deposit is non-refundable unless the class is full.

**Fee includes two required follow-up workshops, BLS 1A and BLS 1B.

Application Payment

$ 0.00