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ArkSHA • 501-244-0621 P.O. Box 24103 Little Rock, AR 72221 Breakthrough to Excellence! 2016 CONVENTION OCTOBER 12 - 14, 2016 HOT SPRINGS, AR Early Registration Deadline: Sept. 12th! Arkansas Speech-Language-Hearing Association Embassy Suites & Hot Springs Convention Center NEW THIS YEAR! 50/50 Scholarship Drawing

Arkansas Speech-Language-Hearing Association 2016 …€¦ · The MED-EL Cochlear Implant: Above and Beyond Michelle DuBre, M.S., CCC-SLP SLP’s Thriving in Healthcare Reform Student

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ArkSHA • 501-244-0621 • P.O. Box 24103 • Little Rock, AR 72221

Breakthroughto

Excellence!

2016 CONVENTIONOCTOBER 12 - 14, 2016

HOT SPRINGS, AR

Early Registration

Deadline:

Sept. 12th!

Arkansas Speech-Language-Hearing Association

Embassy Suites & Hot Springs Convention Center

NEW THIS YEAR!50/50 Scholarship Drawing

President

Kamela Rowland

immediate Past President

Melodee Owens

President-elect

Jeffrey Adams

Vice President audiology & Hearing serVices

Natalie Benafield

Vice President sPeecH-language PatHology

serVices

Chenell Loudermill

Vice President continuing education

Charity Roberts

Vice President - elect continuing education

Alicia Davidson

slP and aud adVisory Board

Dee Lance, Natalie Benafield

Message from the President

Message from the VP of Continuing Education

CALL FOR 2016 ArkSHA STUDENT SCHOLARSHIP APPLICATIONS

As the 2016-2017 academic year approaches, one of the greatest stressors for many students enrolled in Communication Sciences and Disorders graduate programs is figuring out how to pay for their education. You don’t have to look far to find headlines about how the cost of higher education has significantly surpassed that of inflation over the past two decades.

For one ArkSHA graduate student member, some of the rising costs will be offset by receiving the 2016 ArkSHA Scholarship. To be considered for this award, the applicant must be enrolled in a Communication Sciences and Disorders graduate program in Arkansas, and be an Arkansas resident. Additional and more specific guidelines can be obtained from the ArkSHA website: www.arksha.org

The deadline for the receipt of application materials is October 1, 2016.

For more information, please contact ArkSHA at (501) 244-0621 or [email protected]

ArkSHA’s had many Breakthrough to Excellence moments already this year, such as participating in the Task Force for Special Education Responsibilities with Senator Lindsey and his committee, our first Students on the Hill Advocacy Day, and receiving the ASHA Pathway to Excellence grant that is enabling us to write the state’s first “Roles

and Responsibilities for SLPs in the Schools” document. I’m excited that Charity, as your 2016 Convention Chair, will continue those excellent moments at the Annual Convention in Hot Springs. Charity and her committee have worked tirelessly to bring you a dynamic list of speakers who will increase your knowledge, give you food for thought in working with the most difficult of clients, have you ready to conquer your caseload and engage your students once you return to your setting on Monday, and renew your love for the profession. I'm sure each of you will find several sessions that pique your interest and expand your role.

The convention committee took into account the suggestions made at last year's convention when securing speakers/topics. If you have ideas or suggestions on how to make ArkSHA better, send them in. Better yet, bring them and attend the next board meeting, which will be at the convention on Wednesday starting at 3:00 p.m. While you are there, why not sign up to be a part of a committee or a board member in the upcoming year? We hope you will enjoy the new venue while attending ArkSHA's 2016 Annual Convention. I am honored to represent and advocate for you as your 2016 ArkSHA president.

Kamela Rowland, M.S., CCC-SLP

treasurer

Amy Shollenbarger

secretary

Joy Good

arksHa Board

As audiologists and speech-language pathologists, our desire is to have a Breakthrough to Excellence with each individual that we serve. The goal of this year’s convention is to provide topics that include areas of interest for everyone. We have incredible speakers to provide you with a wide range of

topics that many of you requested. Our desire in planning this year’s convention is to provide continuing education that will be beneficial in increasing your knowledge with the individuals that you serve. ASHA and ADE CEUs will be available for SLPs, and ASHA and AAA CEUs will be available for audiologists. If session handouts are provided by the speakers, you can purchase those in advance or download them from the website. We will provide folders upon check-in that include evaluations to be completed and turned in at the end of each session you attend.

We are excited that ArkSHA 2016 will be held in Hot Springs, AR, and we hope that you are happy as well. This convention has been organized by hard-working professionals who desire to bring quality continuing education to our field. Please show them your appreciation when you see them around the convention. We would love for you to be involved in planning ArkSHA 2017. We look forward to seeing you in Hot Springs; enjoy the convention as we learn how to provide a Breakthrough to Excellence.

Charity Roberts, MCD, CCC-SLP

Wednesday, October 12

3:00-4:00 ArkSHA Annual Business Meeting4:00-5:30 Registration - Grand Lobby

5:30-8:30 Jeffrey C. Adams, Ed.D., CCC-SLP & Amy Goddard, OTR/L, CKTP Breakthrough to Excellence: Using the iPad as an Assistive Technology Tool

Thursday, October 13

7:30 Registration - Grand Lobby

7:30-6:00 Exhibits - Grand Lobby

8:00-9:30 Awards Ceremony & Opening Session Sandra Gillam, Ph.D., CCC-SLP

Working Together to Make a Difference: It’s the Only Way!

9:30-10:00 Break 10:00-1:00 Featured Presentations Sandra Gillam, Ph.D., CCC-SLP & Ron Gillam, Ph.D.

Assessment of Narrative

Jeanane M. Ferre, Ph.D., CCC-AYes, you CANS! Assessing Children’s Central Auditory Processing Skills

Renee Attaway, M.S., CCC-SLPSocial Thinking Across the Home and School Day: The ILAUGH Model of Social Cognition

Debbie Ware, M.A., CCC-SLP & Nancy Dunn, M.S., CCC-SLP

No Need to Stumble – You CAN Handle the Truth: Exploring the History of Autism – Diagnosis, Increasing Population, Evidence-Based Practices, and Service Providers

Jill Fitzpatrick, M.A., CCC-SLP, & Adrian Williamson, III, M.D.

Irritable Larynx Syndrome 1:00-2:00 Lunch

2:00-5:30 Featured Presentations (will include 30 min. break)

Sandra Gillam, Ph.D., CCC-SLP & Ron Gillam, Ph.D.

Narrative Language Intervention

Jeanane M. Ferre, Ph.D., CCC-AYes, you CANS! Treatment & Management for Children’s Central Auditory Processing Disorders

Renee Attaway, M.S., CCC-SLPDAY E: Implementing Social Thinking Concepts and Vocabulary into the School and Home Day: A Day to Develop Team Creativity

Debbie Ware, M.A., CCC-SLP & Nancy Dunn, M.S., CCC-SLP

Make Stepping Stones Out of Stumbling Blocks: Utilizing Evidence-Based Practices to Address the Complex Communication Needs and Challenging Behaviors of Children with Autism Spectrum Disorder

Richelle Weese, M.S., CCC-SLPBeyond the Test Battery and Treatment Workbooks: Balancing the Who, What, Where, and How of Adult Language Evaluation and Treatment

5:30-7:00 Scholarship Fundraiser - Embassy Suites

Program and Speakers subject to change.All abstracts and learning objectives can be found on the ArkSHA website, www.arksha.org.

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2016 ArkSHA Convention At-A-Glance

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Friday, October 14

7:30-12:00 Exhibits - Foyer

8:00-10:00 Professional Presentations Carol B. Fleming, M.S., CCC-SLP Finding a Recipe for Successful Service Delivery in the Schools Kimberly Frazier, Ph.D., CCC-SLP & Rachel Glade, M.S., CCC-SLP Social Intelligence Across the Lifespan

Towino Paramby, CScD, CCC-SLP, BCS Current Trends in Adult Swallowing Evaluation and Management Amy Shollenbarger, Ph.D., CCC-SLP Shanon Brantley, M.S., CCC-SLP & Arianne Pait, M.S., CCC-SLP The Importance of Soft Skills in Clinical Success Ashlen Thomason, M.S., CCC-SLP Stuttering Therapy Workshop

10:00-10:15 Break

10:15-11:15 Professional Presentations Nathalie Davis, Au.D., CCC-A The Terrible Teens! Learning to Speak Their Language

Betholyn Gentry, Ph.D., CCC-SLP Samuel Atcherson, Ph.D., CCC-A & Chenell Loudermill, Ph.D., CCC-SLP Reducing Self-stimulating Behaviors in Individuals with ASD: A Non-pharmaceutical Method

Joy Good, Ph.D., CCC-SLP Using Literature-Based Language Intervention to Facilitate Academic Success

Donna Smiley, Ph.D., CCC-A & Cynthia M. Richburg, Ph.D., CCC-A Why Hearing and Hearing Screenings are Important in Communication Sciences & Disorders

Student Presentations* Zach Davis, B.A. & Emily Baird, B.S. Elizabeth Dryer Amber L. Lindley, B.S.

11:15-11:30 Break11:30-12:30 Professional Presentations Julie K. Beard, Ph.D., CCC-SLP Taking a Deep Breath: Serving Clients with Challenging Behavior

Nathalie Davis, Au.D., CCC-A The MED-EL Cochlear Implant: Above and Beyond

Michelle DuBre, M.S., CCC-SLP SLP’s Thriving in Healthcare Reform

Student Presentations* Ragen Bray April Morgan, Twana Watkins, & Sarah Gearhart Eli Skelton, B.S.E. Miranda Gendreau, B.S. & Madeline Beall, B.S.

* Student presentation titles and abstracts can be found on the ArkSHA website.

Featured Convention SpeakersJeffrey C. Adams, Ed.D., CCC-SLP, began his career as a speech pathologist in 1999. In addition to university teaching at UCA and UALR/UAMS, his work experience includes the provision of speech-language pathology services to children and adults with traumatic brain injuries, cerebral palsy, autism and genetic syndromes in school and rehabilitation settings. Jeff has presented numerous times throughout Arkansas

on school-based issues with feeding/swallowing, assistive technology and autism. He has also presented at ASHA and ATIA. He received an M.S. in Communicative Disorders from UAMS, and a doctoral degree in educational leadership at UALR. Jeff's research interests include applying organizational and leadership theory to systems change in educational settings. Jeff is a speech-language pathology trainer and consultant with the Easter Seals Outreach Program, in association with the Arkansas Department of Special Education. He resides in Little Rock with his wife Racheal and their two children, Nathan and Ashley.

Amy Goddard, OTR/L, CKTP, is an occupational therapy consultant for the Easter Seals Outreach program. She received her degree from East Carolina University in Greenville, North Carolina, and is registered by the National Board of Certification for Occupational Therapy and licensed by the Arkansas State Medical Board. She began working in the field of occupational therapy in 1999. After working in an outpatient

clinic setting serving school age children,she was hired as the pediatric occupational therapist at a leading neurorehabilitation facility. Following that position, Amy joined Easter Seals Arkansas serving as the therapy director for the Children’s Rehabilitation Center, where she broadened her experience with using assistive technology in daily service delivery. Amy was appointed to the Governor’s task force on traumatic brain injury by Mike Beebe in 2007.

Debbie Ware, M.A., CCC-SLP, is a speech-language pathology consultant with Easter Seals Outreach. She received her Bachelor of Science and Education and Master of Arts degrees from the University of Arkansas at Fayetteville. She is a member of the American Speech Language, and Hearing Association and the Arkansas Speech Language and Hearing Association. She currently works on an interdisciplinary team that provides

statewide assistance in the areas of classroom programming, communication, sensory integration, and assistive technology. Much of her experience has been in the San Diego Unified School District in San Diego, CA. During her 16 years in the district, she worked as an itinerant speech-language pathologist, a Special Day Class Teacher in Early Childhood, and a Diagnostic Resource Teacher. She received extensive training in the field of autism while participating in a 3 year multi-agency grant project in San Diego County. Upon completion of the grant, she was on a team that opened the first classroom for children with autism using a comprehensive curriculum and research based strategies in the San Diego Unified School District. Her team received many recognitions and awards for the program. She has presented extensively in the area of autism both locally and nationally and she is a STAR (Strategies for Teaching based on Autism Research) implementer, coach and trainer.

Nancy Dunn, M.S., CCC-SLP, is a speech-language pathology consultant with Easter Seals Outreach. She received her Bachelor of Science degree from the University of Arkansas at Fayetteville and her Master of Science in Communication Disorders from the University of Arkansas at Little Rock/University of Arkansas for Medical Sciences. Nancy is a member of the American Speech Language, and Hearing Association and the Arkansas

Speech Language and Hearing Association. She currently works on the Outreach team, which is an interdisciplinary team that provides statewide assistance in the areas of classroom programming, communication, sensory integration, and assistive technology. She previously served as coordinator of the Arkansas center for augmentative and alternative communication through the “Tech Act” of 1989 and as therapy coordinator for the Easter Seals Rehabilitation Center. While serving as a speech language pathologist at the Easter Seals Rehabilitation Center, her program was chosen by the American Speech Language and Hearing Association as one of 11 model programs in augmentative and alternative communication in the US, and Nancy became a contributing author to ASHA’s Augmentative Communication Implementation Strategies publication. She has extensive training and experience in the areas of augmentative communication, assistive technology and autism and has spoken locally, nationally and internationally on these topics. She is a STAR (Strategies for Teaching based on Autism Research) certified implementer and coach.

Richelle Weese, M.S., CCC-SLP, has been a speech pathologist for over 20 years. While pursuing her Master's degree in Speech Pathology at UCA, she was a recipient of a traineeship for Traumatic Brain Injury. Upon graduation, Mrs. Weese worked in a nonprofit Head Injury Facility in Fort Worth Texas. When she returned to Arkansas, she worked for Therapy and Rehab Solutions, where she evaluated and treated adults with

a variety of disorders. Mrs. Weese has worked in a variety of adult settings, including acute care, inpatient rehab, outpatient, and long term care, as well as serving in administration roles for department and an outpatient multidisciplinary clinic. In 2009 she became LSVT certified. In September 2015, she returned to UCA as a Clinical Instructor at UCA where she supervises graduate students in the on-campus clinic, serves as a Coordinator for the UCA Concussion Management Project, and Voice Clinic. She is also a member of the ASHA Special Interest Division in Voice.

Renee Attaway, M.S., CCC-SLP, is the founder and director of Social Learning located at The Parish School. Social Learning offers social cognitive services for preschool to high school children in Houston, Texas. This program provides group and individual therapeutic services in both social learning groups and individual therapy, as well as hosting an overnight social learning summer camp

called Camp Social Superheroes. As a member of the Social Thinking® Training and Speakers’ Collaborative, Renee has presented workshops for organizations across the United States and Canada since 2012. Renee has been described as an enthusiastic speaker who enjoys sharing her own clinical experiences with audiences. Renee has worked at The Parish School for over 16 years as a speech pathologist, teaching preschool, supervising clinicians, and creating programs. She has also worked in the university and private practice areas.

Jill Fitzpatrick, M.A., CCC-SLP, is a speech language pathologist who specializes in voice, swallowing and airway disorders at Arkansas Otolaryngology Center in Little Rock, Arkansas. Prior to joining AOC in 2007, Jill worked at Baptist Health Rehabilitation Institute in Little Rock, Arkansas, for 14 years. She earned her Master of Arts degree in speech language pathology from Oklahoma State University in 1991.

Adrian Williamson, III, M.D., is an otolaryngologist with Arkansas Otolaryngology Center in Little Rock, Arkansas. He received his medical degree from Tulane University School of Medicine in 1985. He completed his Otolaryngology - Head and Neck Surgery Residency at Tulane in New Orleans, Louisiana, in 1991. Dr. Williamson is a general ENT whose areas of interest include voice disorders and pediatrics.

Featured Convention Speakers

Dr. Jeanane Ferre received her Ph.D. from Northwestern University and has focused her career on the assessment of and intervention for central auditory processing disorders (CAPDs). She has published/presented extensively on CAPD, including The Differential Screening Test for Processing and Processing Power - A Guide to CAPD Assessment and Management. She is a Fellow of the Illinois Speech-Language-Hearing Association (ISHA)

and of ASHA and has received the Clinical Achievement Award and Honors of the Association from ISHA. Currently in private practice in the Chicago area, Dr. Ferre is a member of the adjunct faculty at Northwestern and Rush Universities. Her current interests include CAPD screening, intervention for CAPDs, and enhancing clinical preparation in CAPD.

Sandra Laing Gillam, Ph.D., CCC-SLP, is a Professor in the Department of Communicative Disorders and Deaf Education at Utah State University and the current Vice President for Speech Language Pathology Practice for the American Speech Language and Hearing Association (ASHA). Since coming to Utah State, she has received numerous awards and honors including being named ASHA Fellow, Outstanding Alumnus, Undergraduate Research

Mentor of the Year, and Outstanding Researcher of the Year. She earned her BS and MS degrees in Speech Language Pathology and Audiology at Auburn University and began her career as a speech language pathologist in public schools. Dr. Gillam obtained her Doctorate at The University of Memphis and began her academic career at The University of Alabama. She currently teaches courses in language development and disorders, assessment and intervention for language disorders, and professional issues. Her research interests include language and literacy impairments, diverse populations and comprehension. Sandi has received funding for her research from the Institute of Education Sciences.

Convention HighlightsArkSHA’S ANNUAL BUSINESS MEETING

Wednesday, October 12, 3:00 pm

Join the ArkSHA Board of Directors and fellow members for the Association’s Annual Business Meeting.

The 2017 slate of officers will be presented. All members are invited to attend.

OPENING SESSION & AWARDS CEREMONYThursday, October 13

8:00 am - 9:30 am

SCHOLARSHIP FUNDRAISER & SOCIALThursday, October 13

Embassy Suites Grand Salon 5:30 pm - 7:00 pm

50/50 Drawing • Silent AuctionAppetizers • Cocktails • Networking

EXHIBITSThursday, 7:30 am - 5:00 pm & Friday, 7:30 am - Noon

...AND MUCH MORE!!

Ron Gillam, Ph.D., holds the Raymond and Eloise Lillywhite Endowed Chair in speech-language pathology at Utah State University, where he serves as the Director of the Language, Education and Auditory Processing (LEAP) Brain Imaging Lab in the Emma Eccles Jones Early Childhood Education and Research Center. His research, which has been funded by the National Institutes of Health and the US Department of Education, primarily concerns

information processing, language assessment, and language intervention with school-age children with specific language impairments. Currently, Dr. Gillam has an NIH grant to model the developmental progression of attention and memory systems as they relate to complex sentence comprehension in children with specific language impairments and children developing normally.

Dr. Gillam has published two books, three tests, and more than 120 articles and book chapters. He has received numerous teaching and research awards, including ASHA Fellow, the Haydn Williams Fellow at Curtin University in Western Australia, the Dads Association Centennial Teaching Fellowship at the University of Texas at Austin, the Editor’s Award for the article of highest Merit in the Journal of Speech, Language, and Hearing Research (twice) and the Robins Award for the outstanding researcher at Utah State University.

Arkansas Speech-Language-Hearing Association P.O. Box 24103 Little Rock, Arkansas 72221 ph: 501-244-0621 fax: 501-224-0988

APPLICATION FOR MEMBERSHIP

First Name: _______________________ Middle: _________________ Last Name: ________________________ Recruited/Referred by: _________________________________

APPLYING FOR: _____ Full member, Speech-Language Pathologist - $60.00 SLP # ________

Requires a Master’s degree or higher in Speech-language Pathology & adherence to the Code of Ethics adopted in 1991 (if renewing after February 15, add $10)

_____ Full member, Audiologist - $60.00 AUD # ________ Requires a Master’s degree or higher in Audiology & adherence to the Code of Ethics adopted in 1991 (if renewing after February 15, add $10)

_____ Associate member-$45.00 Requires an undergraduate degree in speech or hearing or an allied Profession. Must abide by the spirit of the Code of Ethics (if renewing after February 15, add $10)

_____ Student member - $25.00 Requires full-time enrollment in speech-language pathology or audiology

Former Student Members will receive a $10.00 discount on initial Full member dues provided they have current student membership status when they apply.

Home Address____________________________________ City _________________State ______ Zip _________

Cell Phone _______________________________ Email Address _____________________________________ Place of Employment__________________________________________________________________________

Address_________________________________________ City _________________State ______ Zip _________

County ______________________ Work Phone __________________________ Fax ______________________

Full & Associate Members: Academic Degree __________ Year ______ Institution _________________ CERTIFICATION/LICENSURE (check all that apply)

______ASHA CCC-SLP ______ASHA CCC-A _______ASHA CF-SLP

______AR Licensure, SLP ______AR Licensure, A _______Public School Certification/Licensure

Student Members:

A. I am currently a full-time undergraduate/graduate (circle one) student at: _____________________________ (name of university) B. Estimated date of graduation: ____________ C. Signature of Program Chair or Advisor: __________________________________________________________ * Membership dues are not deductible as charitable contributions for federal income tax purposes. In addition 21 % of your dues spent for governmental relations are not deductible as a business expense.

SEND APPLICATION & DUES TO: ArkSHA P.O. Box 24103 Little Rock, AR 72221

FAX: 501-224-0988

Check #: ____________ Visa/ MasterCard #: ________-________-________-________ Exp. Date: _________ CVV: ________ Name on Card: ______________________________________ Billing Address (if diff from above): __________________________________________________

Food will be ordered based on the follwing responses: I plan to attend the Thursday lunch (included in conference fee). Special dietary needs: _________________________________ I plan to attend the Thursday Social Hour (included in conference fee).

SeSSion ChoiCeSPlease take a moment to check the convention session that you plan to attend. Pre-registration is not required, however your selection will assist in planning.

Wednesday, 5:30 - 8:30 pm Jeffrey C. Adams & Amy Goddard

Thursday:8:00 - 9:30 Awards & Opening Session Sandra Gillam

10:00 - 1:00 - Choose ONE Sandra & Ron Gillam Jeanane M. Ferre Renee Attaway Nancy Dunn & Debbie Ware Jill Fitzpatrick & Adrian Williamson, Ill

2:00 - 5:30 (will include break)-Choose ONE Sandra & Ron Gillam Jeanane M. Ferre Renee Attaway Nancy Dunn & Debbie Ware Richelle Weese

Friday:8:00 - 10:00 - Choose ONE Carol B. Fleming Kimberly Frazier & Rachel Glade Towino Paramby Amy Shollenbarger, Shanon Brantley & Arianne Pait Ashlen Thomason

10:15 - 11:15 - Choose ONE Nathalie Davis Betholyn Gentry, Samuel Atcherson & Chenell Loudermill Joy Good Donna Smiley & Cynthia M. Richburg Student Presentations

11:30 - 12:30 - Choose ONE Julie K. Beard Nathalie Davis Michelle DuBre Student Presentations

Continuing eduCation informationCONTINUING PROFESSIONAL EDUCATION (CPE’s) - Regular convention sessions have been submitted for up to 14.0 CPE’s (dependent upon which sessions you choose to attend). The yearly minimum standard currently required by the Arkansas Board of Examiners in Speech-Language Pathology and Audiology is 10.0 CPE’s. ArkSHA approval of continuing education sponsorship does not imply endorsement of course content, specific products, or clinical procedures.

ASHA CONTINUING EDUCATION UNITS (CEU’s) - ArkSHA is approved by the Continuing Education Board of the American Speech-Language-Hearing Association (ASHA) to provide continuing education activities in speech-language pathology and audiology. This program is offered for 1.4 CEUs (intermediate level, professional area). ASHA CE Provider approval does not imply endorsement of course content, specific products, or clinical procedures.

2016 ArkSHA CONVENTION October 12-14, 2016 ~ Embassy Suites ~ hot springs, AR

ArkSHA is approved by the American Academy of Audiology to offer Academy CEUs for this activity. Academy approval of this continuing education activity does not imply endorsement of course content, specific products, or clinical procedures.

Cancellations: A refund less a $25 processing fee will be issued if the ArkSHA Office is notified in writing by September 30, 2016. No refunds will be issued after September 30, 2016.

Early RegistrationOn or Before 9/12

Regular RegistrationOn or Before 9/26

**Onsite Amount

*ArkSHA Member $160 $195 $210 $Non-Member $275 $310 $325 $*Student Member $55 $70 $85 $Student Non-Member $75 $90 $105 $

2016 ArkSHA Membership Dues ($70/Renewing, $60/NEW, $25/Student) $

Printed Session Handouts (fee $10) - Also available at www.arksha.org $

T-shirt (short sleeve: $10) S M L XL 2XL(add $3) 3XL(add $3)

Scholarship Contribution In Honor of In Memory of _______________ $50/50 Scholarship Drawing: $10/6 tickets $20/15 tickets $No confirmation of your registration will be sent. TOTAL PAYMENT $

attendee information Name: _____________________________________________________ SLP #: _______________ AUD #:________________ Mailing Address: _____________________________________________ City: ______________________ State: _______ Zip Code: ___________ Email: _____________________________________________________ Work Phone:__________________ Cell Phone:___________________ Employer: __________________________________________________ regiStration feeS* In order to qualify for member rate, you must be a 2016 ArkSHA member.** Onsite registrants will not receive a lunch on Thursday. If you do not register by September 26, you must register onsite.

Check #: _______________

Visa/MasterCard # ________-________-_______-_______ Exp Date: __________ CVV: ________Name on Card: __________________________________Billing Address (if diff from above): __________________________________________________________________

Make Checks Payable to: ArkSHA

Mail with form to:

ArkSHAP.O. Box 24103

Little Rock, AR 72221

Or FAX to (501) 224-0988

regiSter onLine at www.arkSha.org

2016 ArkSHA Convention - Breakthrough to Excellence!Arkansas Speech-Language-Hearing AssociationP.O. Box 24103Little Rock, AR 72221

PRESORTSTANDARD

U.S. POSTAGE PAID

Little Rock, ARArmailing

Session HandoutsHandouts will be available (for you to download and print out) online at www.arksha.org two weeks prior to and two weeks after the convention. They may also be pre-ordered on the registration form ($10).

Lunch will be provided Thursday to those who pre-register and indicate they would like a lunch. (Please note that you will have only an hour for lunch.) ArkSHA will not be ordering lunches for attendees who register on-site.

Thursday Lunch

Online Registration Available! www.arksha.org

Order your convention t-shirt now!

Select size & quantity on registration form.

Convention T-Shirts

Dress in layers! Business casual is appropriate throughout the conference. FOR RESERVATIONS

Call: (501) 312-9000Or go to: www.arksha.org/convention

By September 28th$132 - Single

$142 - Double

Hotel Accomodations

Embassy suitEsHot Springs

ArkSHA 2016 CONVENTION

Convention Attire New This Year! 50/50 Scholarship

Drawing$20/15 tickets$10/6 tickets

Drawing to be held at the Scholarship Fundraiser & Social on Thursday evening at the Embassy Suites. You must be present to win. Winner gets 50% of all money raised!