ORTON GILLINGHAM ASSOCIATE LEVEL - MULTISENSORY STRUCTURED LANGUAGE INSTRUCTION TRAINING COURSE APPLICATION – SUMMER 2016 – INTENSIVE Please note that this intensive summer course requires some advanced study which includes some reading and several short assignments, prior to course commencement. In addition, registrants will be required to complete independent study and practice on the weekend of July 16/17 but there will be no classes on these days. A link to required readings and assignments will be available upon receipt of registration and payment. Please return completed form to: [email protected] or mail to: OG-MSL 115 Hanna Road, Toronto, ON M4G 3N5 Instructor: Liisa Freure M.Ed., OCT, Fellow /AOGPE DATES: Monday – Friday – July 11, 12, 13, 14, 15, 2016 9:00 am – 5:00 pm Monday – Wednesday – July 18, 19, 20, 2016 9:00 am – 5:00 pm Saturday, July 16 & Sunday July 17, 2016 independent study and practice 8 days 64 hours total COURSE LOCATION: Toronto – 125 Brentcliffe Road (Northlea United Church - Bayview/Eglinton - North Leaside) PAYMENT: Payment is required in order to hold your spot as registration is limited and courses do fill up . Included in this is a $100 nonrefundable registration fee which is applied toward the course fee. Fee of $1695 ($1500 plus 13% HST) Paying by: cheque payable to Liisa Freure email transfer Fee of $226/day ($200 plus 13% HST) * Amount: Paying by: cheque payable to Liisa Freure email transfer This is a make-up day for a missed class * NO FEE Original date missed: Please indicate days attending * July 11 July 12 July 13 July 14 July 15 July 18 July 19 July 20 *Advance arrangements required for this option First Name: Last Name: Address: City: Province/State: Postal/ZIP Code: Phone: Email: Education: