UMass Boston CATIS Registration

Introduction to Assistive Technology for People with Visual Impairments (3 credits) Scheduled Fall 2018 cost $1400 Instructor: Rachael Sessler Trinkowsky, Ph.D., CRC, CATIS

1. Application and Registration

Upon governance approval of the designed curriculum, admission and registration will be limited to 12 participants with existing TVI, O&M or VRT credentials. Please let us know by April 30 th if you would like to apply and enroll in the first cohort to begin September 1st 2018.

First Name

Last Name

Street Address

City

State

Zip

Email Address

Phone Number

2. Check all that apply

I am a state licensed TVI
I am an O&M Specialist
I am a Vision Rehabilitation Therapist
Other

3. If not TVI, O&M or VRT, what is your professional training in vision education and or rehabilitation?

4. I will be paying by

Check
Agency Purchase Order
Other