LAMP Request Form

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Contact Information

Contact Name

Contact Phone #

Contact Email

Facility Information

Facility Name

Facility Address

Facility Phone #

How many attendees will the facility hold?

Describe your facility and why you think LAMP would be beneficial to your clients?

Workshop Information

What are your preferred dates for the workshop?

Which workshop are you interested in hosting?

One Day:Putting LAMP to Work: AAC Strategies to Promote Communication

1.5 Days: Language Acquisition Through Motor Planning (Includes Videotaping)

If interested in hosting a 1.5 day workshop, would you be willing to collect data (standardized testing and videotaping) on the clients who receive trial devices before the workshop and during the trial period?

Yes