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Brochure Workshops Turin 2009 Powered By Docstoc
					   The International Center for the Enhancement of Learning Potential
                                    In collaboration with
               University of Antwerp, coordinator of the INCLUES EU Project,
        Universita Ca Foscari - Associazione Connessioni - Mediation A.R.R.C.A


 The 03th ICELP International Workshops -
                 Europe
                         Headed by Professor Reuven Feuerstein
                            Turin, Italy • July 5th to 16th, 2009

The Learning Potential Assessment Device: LPAD Level 1;                 JULY 5-16, 2009
LPAD Level 2; LPAD Basic (Young Children)
Cognitive Intervention Programs via Instrumental Enrichment:
                                                                        JULY 5-16, 2009
IE Level 1 and Level 2
IE Trainers Level 1 and Level 2, IE Basic Trainers                      JULY 5-16, 2009
Instrumental Enrichment for Young Children (IE Basic 1)                 JULY 5-16, 2009
Renewal seminar for IE trainers (New)                                   JULY 5- 9, 2009
Mediated Learning Experience for Clinicians (New)                       JULY 5-10, 2009
Instrumental Enrichment for Young Children 2 (IE-Basic 2)               JULY 5-10, 2009
Tactile IE: Children with Sensory, Attention and Vision problems        JULY 13-16 2009

Schedule     Sunday July 5, 2009            Commencing 15:00
             Monday July 6 to
             Friday July 10, 2009           8:30 to 18:30
             Saturday July 11, 2009         Free
             Sunday July 12, 2009           Free
             Monday July 13 to
             Thursday July 16, 2009         8:30 to 18:30

VENUE         Hotel Mercure Royal, 249 Corso Regina
              Margherita, Turin 100144.



CONTACT       ICELP International Workshop Hotline
              Phone +972-2-569-3304
              Fax +972-3-542-6620
              Email sr@icelp.org.il
WELCOME! The ICELP International Workshops introduce educators, psychologists and other
specialists to the theory and practice of Structural Cognitive Modifiability (SCM) and Mediated Learning
Experience (MLE) developed by Prof. Reuven Feuerstein.
For more than a quarter-century, the ICELP annual workshops
have made possible the training of a cadre of experienced
professionals in the use of dynamic assessment and
Instrumental Enrichment intervention for their students’ or
clients’ benefit.
Prof. Feuerstein's theory states that learning ability can be
significantly enhanced, regardless of age, nature, cause or
severity of condition. Clinical observations over decades have
shown that the development of thinking processes is highly
dependent on the nature and quality of the interaction within
which selected stimuli are mediated by parents, educators and others.
All workshops incorporate an introduction or review of the theories of Structural Cognitive Modifiability
and Mediated Learning Experience.

    ►Mediated Learning Experience for                                       5-10 July 2009 | Fee: €750
    Clinicians (new)
    This workshop is intended for clinical professionals who          Course Code: MLEC001
    assess and treat low-functioning, including pre-verbal and        The workshop is organized in
    sensory-motor delayed children. The emphasis will be on            collaboration with the Mariani
    how to use the principles of Mediated Learning Experience          Foundation for Child Neurology.
    for establishing, developing and enhancing cognitive
    functions in children with genetic syndromes, pervasive           Previous experience in LPAD
    developmental and behavioral problems.                             or/and IE is required.
                                                                      Participants will receive the MLE
    The workshop includes an analysis of cognitive functions in        manual and a set of research
    special needs children, techniques of MLE-based                    papers.
    assessment, an overview of current research in the field of
    genetic syndromes, autistic spectrum and PDD, techniques
    of mediation to children with severe communication
    problems, and special adjustments of LPAD-Basic and IE-
    Basic programs for low-functioning children. The principles of
    a clinical team approach with physicians, outside clinical
    specialists, schools and families are discussed. The
    workshop will also include the methodology of training
    parents in establishing MLE-enriched interactions with their
    children.
    Graduates of the workshop will receive a Certificate of
    Clinical MLE Workshop Participation.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 2 of 13
    Learning Potential Assessment Device (LPAD)
    The LPAD is a system of dynamic assessment of cognitive              Previous study of IE is recom-
    modifiability, structured as a mediational interaction. Its           mended. Exceptions may be
    primary goal is to produce a sample of change in the                  made for professionals with
    cognitive structure of the individual to serve as an indicator of     previous assessment experience.
    the individual’s learning potential and point out the optimal        Applicants are encouraged to
    modes of necessary intervention.                                      read in advance the theoretical
    LPAD can be applied as an individual clinical technique and           material available on the ICELP
    with groups of children, adolescents and adults with diverse          website (Research> Basic>
    levels of functioning and differing etiological conditions.           Theory> LPAD) and in Feuerstein
                                                                          et al. (2002) The dynamic ass-
    This course is intended for professionals in the following            essment of cognitive modifiability,
    fields: psychology, education, speech and occupational                Jerusalem ICELP Press
    therapy, and other clinical areas.                                   Participants will receive an LPAD
                                                                          assessment manual and a set of
                                                                          LPAD tasks and recording forms.
    ►LPAD 1                                                                 5-16 July 2009 | Fee: €1,400
    This course is intended for professionals (psychologists,            Course Code: LPAD001
    clinicians, and educators) who will use LPAD for individual          Graduates of the LPAD 1 course
    dynamic assessment of the child’s cognitive modifiability.            who wish to continue to LPAD 2
    The workshop will comprise:                                           are required to submit to ICELP
     Intensive instruction in LPAD theory;                               three LPAD-1 assessment
                                                                          protocols
     A study and practice with Level 1 LPAD instruments:
      “Organization of Dots”, “Complex Figure”, “Variations of
      Progressive Matrices”; Attention test (“Lahi’), “Positional
      Learning”, “16 Word memory test”.
     Demonstration of LPAD assessment;
     Small-group child assessment practice emphasizing the
      cognitive processes involved and the quality of evaluator-
      child interaction;
     Interpretation of assessment results, LPAD report writing.
    Graduates of the workshop will receive a Certificate of
    LPAD-1 Workshop Participation.
    ►LPAD 2                                                                  5-16 July 2009 | Fee €1,500
    Admission to this workshop is limited to those previously            Course Code: LPAD002
    trained in LPAD-1. Topics included in this workshop:                 Candidates for LPAD-2 course
     Advanced theory of mediation for dynamic assessment                 are required to submit to ICELP
                                                                          three assessment protocols
     A study and practice with Level 2 LPAD instruments:                 based on the use of LPAD-1
      “Associative Recall”, “Plateaux”, “Numerical                        tools.
      Progressions”, “Organizer”; “Representational Stencil
      Design Test”                                                       Graduates of the LPAD 2 course
                                                                          who wish to receive certification
     Principles and techniques of group assessment                       as an ”LPAD assessor” are
     Analysis of profiles of modifiability; Practical experience in      required to submit to ICELP six
      individual assessment and report writing.                           LPAD reports.
    Graduates of the workshop will receive a Certificate of
    LPAD-2 Workshop Participation.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 3 of 13
    ►LPAD for Young Children (LPAD-B)                                     5-16 July 2009 | Fee €1,500
    Admission to this workshop is limited to those previously         Course Code: LPAB002
    trained in LPAD-1. The LPAD-B training model includes the         Candidates for the LPAD-B
    principles and techniques of using a battery of tasks intended     course are required to submit to
    for pre-school children or children with severe developmental      ICELP three assessment
    delay. The workshop includes small-group assessment                protocols based on the use of
    of young children.                                                 LPAD-1 tools.
    The LPAD-B battery includes the following sub-tests: Part-        Graduates of the LPAD Basic
    Whole; Functional Part-Whole; Concept Formation by                 course who wish to receive
    inclusion and by elimination; Inferential Thinking,                certification as “LPAD-B
    Progressions; Picture Sequence, Puzzles; Spatial                   Assessor” are required to submit
    Orientation; Complex Figure, Mazes, Human Figure Drawing,          to ICELP six LPAD-B reports
    Associative Recall; Visual Transport, Reversal Test.
    Graduates of the workshop will receive a Certificate of
    LPAD-B Workshop Participation

    Cognitive Intervention Programs via Instrumental Enrichment (IE)
    Cognitive intervention via IE programs is designed to modify      Basic information on the
    the cognitive structure of students in classrooms and              programs is available at the
    individually with diverse populations ranging from retarded        ICELP website (Research –
    performers to gifted underachievers and adult populations in       Basic theory – IE) and in
    industrial settings and continuing education.                      Feuerstein, R. et al (2006).
    The programs aim at correcting deficient cognitive functions       Creating and enhancing cognitive
    and enhancing the individual’s capacity to learn more              modifiability. Jerusalem: ICELP
    effectively from direct exposure in formal as well as informal     Press
    learning situations.
    ►Cognitive Intervention via IE - Level 1                             5-16 July 2009 | Fee: €1,300
    This course includes the following topics:                        Course Code: IE001
     Introduction to the theory of mediated learning experience      Participants will receive a set of
     Analysis of deficient cognitive functions in regular and         IE-1 tools, theoretical materials,
       special needs populations with autism and PDD, attention        and a manual for a key IE
       problems, learning disabilities, etc.                           instrument “Organization of
                                                                       Dots”.
     Criteria and principles of mediation
                                                                      Graduates of the IE-1 workshop
     Goal and sub-goals of the clinical and educational               who wish to advance toward
       application of the IE program
                                                                       certification as “IE Practitioners”
     Small group practice in treatment sessions planning              are expected to send to ICELP
     Comprehensive instruction in the use of the following IE         documentation (lesson plans,
       instruments: Organization of Dots; Comparisons; Analytic        video, articles) confirming their
       Perception; Orientation in Space I; Illustrations;              application of IE in the classroom
       Categorization, Orientation in Space II.                        or in clinical practice.
    Graduates of the workshop will receive a Certificate of IE-
    1 Workshop Participation




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 4 of 13
    ►Cognitive Intervention via IE - Level 2                                 5-16 July 2009 | Fee €1,300

    This course includes the following topics:                           Course Code: IE002
     Applied aspects of MLE with diverse populations of                 This course is open for graduates
       students (regular, underachieving, minority, gifted, etc.)         of IE-1.
     Small group practice in lesson planning                            Participants will receive a set of
     Principles and techniques of “bridging” the cognitive               IE-2 tools, theoretical materials,
       principles to the middle and high-school curriculum                and a manual for a key IE-2
                                                                          instrument “Temporal Relations”.
     Comprehensive instruction in the material and didactics of
       second level IE instruments: Family Relations; Temporal           Graduates of the IE-2 workshop
       Relations; Instructions; Numerical Progressions;                   who wish to advance toward
       Transitive relations; Syllogisms; Representational Stencil         certification as “IE Practitioners”
       Design.                                                            are expected to send to ICELP
                                                                          documentation (lesson plans,
    Graduates of the workshop will receive a Certificate of IE-
                                                                          video, articles) confirming their
    2 Workshop Participation                                              application of IE in the classroom
                                                                          or in clinical practice.
                                                                        
    ►IE Trainers 1                                                          5-16 July 2009 | Fee: €1,300
    This is an advanced phase offered for IE practitioners who           Course Code: IETR003
    have trained in the past in all 14 IE instruments and applied        Participants will receive a
    all of them in the classroom or in individual treatment. A letter     complete set of IE tools and
    of recommendation from the local Authorized Training Center           theoretical materials.
    is required.
                                                                         Graduates of this workshop will
    Participants will receive up-to-date information on topics such       be granted certification enabling
    as: Reviewed versions of IE instruments and new didactic              them to function as IE classroom
    methods of application; Techniques of observation and                 consultants and co-trainers under
    evaluation of IE interactions on the basis of MLE criteria;           the supervision of qualified IE
    “Bridging” of IE principles and didactics to specific academic        trainers within the framework of
    areas; Didactics of IE training.                                      an Authorized Training Center.
                                                                         Graduates of this course will not
                                                                          be able to function as
                                                                          independent IE trainers.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 5 of 13
    ►IE Trainers 2                                                          5-16 July 2009 | Fee: €1,300
    This workshop will comprise such topics as:                          Course Code: IETR004
             Advanced theory of MLE and its classroom                   Entrance limited to graduates of
              implications                                                Trainers-I course with at least 2
             MLE in teacher training                                     years classroom experience in
                                                                          application of all 14 IE
             Review and intensive analysis of IE material and
                                                                          instruments.
              didactics
                                                                         Applications should be sent to the
             Differential use of IE with various student populations
                                                                          ICELP with relevant
             Critical analysis of videotaped and/or “live” training      documentation reflecting previous
              lessons                                                     certification in IE training, type
           The system-oriented approach in the application of IE         and amount of direct classroom
                                                                          teaching of IE and letters of
           Promotion of the IE program and the organization of
                                                                          recommendation from an
            an ATC.
                                                                          Authorized Training Center.
    Each participant in this workshop will be required to write a
    final paper reflecting his or her experience with the relevant       A special committee will consider
    aspects of IE and MLE. The papers will serve as a basis for           each application to this workshop
    group discussion.                                                     on an individual basis.
                                                                         Participants will receive a
                                                                          complete set of IE tools and
                                                                          theoretical materials.
                                                                         Graduates of this workshop will
                                                                          be certified as fully authorized IE
                                                                          trainers of other teachers and
                                                                          practitioners.
    ►Instrumental Enrichment for Young Children 1                           5-16 July 2009 | Fee: €1,300
    (IE-Basic 1)
    This course introduces a series of mostly non-verbal                 Course Code: IEB001
    instruments to be used with younger children or children with        Participants will receive a set of
    low performance level.                                                IE-Basic 1 tools, theoretical
    Program goals and methods of application:                             materials, and the IE-Basic
     Ways of attending to the development of basic cognitive             User’s Guide.
      functions, verbal and conceptual tools, spatial and                Graduates of the IE-Basic-1
      temporal concepts and representational activities.                  workshop who wish to advance
     Methods of promoting reflective thinking and internal               toward certification as “IE Basic
      motivation, and the development of the child’s feeling as a         Practitioners” are expected to
      generator of information rather than a passive reproducer           send to ICELP documentation
      of information                                                      (lesson plans, video, articles)
                                                                          confirming their application of IE
     Practice in the following instruments: Organization of
                                                                          in the classroom or in clinical
      Dots, From Units to Groups, Tri-channel Attentional
                                                                          practice.
      Learning, Orientation in Space, Detecting the Absurd,
      Identifying Emotions, From Empathy to Action.
     Graduates of the workshop will receive a Certificate of
      IE-Basic-1 Workshop Participation




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 6 of 13
    ►Instrumental Enrichment for Young Children 2                             5-10 July 2009 | Fee: €750
    (IE-Basic 2)
    Second level course which offers students advanced IE-B             Course Code: IEB002
    instruments.                                                        Admission to graduates of IE-
     The first focuses on preparing young children for reading          Basic-I.
      and auditory comprehension by asking key questions to             Participants will receive a set of
      analyze text (“Learn to ask questions”).                           IE-Basic 2 tools, theoretical
     The second instrument, called “Think and Prevent                   materials, and the IE-Basic
      Violence” is the third in the trilogy on emotions (Identifying     User’s Guide.
      Emotions and From Empathy to Action). It focuses on               Graduates of the IE-Basic-2
      behavior planning and control as a means of preventing             workshop who wish to advance
      violence.                                                          toward certification as “IE Basic
     The third instrument (“Know and Identify”) mediates                Practitioners” are expected to
      general knowledge and gives children the means to                  send to ICELP documentation
      investigate their environment.                                     (lesson plans, video, articles)
     The last one, “Compare and discover the absurd – 2”                confirming their application of IE
      continues the topic of comparison and inferential thinking.        in the classroom or in clinical
                                                                         practice.
     Graduates of the workshop will receive a Certificate of
      IE-Basic-2 Workshop Participation




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 7 of 13
    ►IE for young children - Trainers                                      5-16 July 2009 | Fee: €1,300
    Trainers level course for practitioners trained in all IE-Basic    Course Code: IEBTR003
    instruments who applied them in the classroom or in                Applications should be sent to the
    individual treatment. A letter of recommendation from the           ICELP with relevant
    local Authorized Training Center is required.                       documentation reflecting previous
    Participants will review IE-basic tools and practice with them,     certification in IE-Basic 1 and 2,
    study the techniques of observation and evaluation of IE-           type and amount of classroom
    Basic interactions on the basis of MLE criteria; learn the          teaching or clinical use of IE-
    didactics of IE-Basic training and supervision.                     Basic and letters of
                                                                        recommendation from an
                                                                        Authorized Training Center.
    ►Renewal seminar for IE Trainers (New)                                    5-9 July 2009 | Fee: €550
    Participation in this seminar fulfills one of the requirements     Course Code: IETR005
    of IE trainers’ re-certification process. The participants will    The seminar is intended for IE
    present and then discuss all components of IE training              trainers who received their
    including theory, didactics of teaching IE tasks, forms of          Trainer-2 diploma before the
    mediation, “bridging” to different subject areas, and               year 2000, though it is open for
    classroom supervision. Methods of evaluation of students’           all graduates of Trainer-2
    acquisition of IE program and IE trainees’ mastery of IE            courses.
    teaching will be analyzed. The seminar program also
    includes such issues as forms of cooperation between IE           Applications should be sent to the
    trainers and ICELP, strategies of promoting IE programs,          ICELP with relevant documentation
    training and supervision documentation and reporting,             reflecting previous certification as IE
    ethical and professional standards in IE training and             Trainers-2.
    program implementation.
    The participants are required to bring a portfolio with
    samples of their lesson plans, bridging exercises, didactic
    elaborations, training schedules, articles, video and other
    materials documenting their training and supervision
    activities. Participants will be required to present a final
    paper reflecting their IE experience.




    ►Tactile IE Workshop: Children with sensory,                           13-16 July 2009 | Fee: €550
    attention and vision problems.
    The objective of this workshop is to introduce educators,          Course Code: IETAC002
    psychologists, clinical professionals and parents to the           Prerequisite: Experience with
    innovative tactile version of the IE program based on a             regular IE-1 instruments.
    combination of unique technology, new original design and
    classical IE concepts.
    The workshop includes the following topics:
     Multi-sensory approach (Touch-Motion-Sound) in IE
      tactile programs
     Advantages of kinesthetic and tactile modality of
      mediation in MLE
     Tactile exploration as a tool for focusing, organizing and
      ordering the explorative process in ADD children
     Tactile IE as a new tool for articulating active explorative
      behavior in children with motivational problems
     Tactile IE symbolic representation as a tool for advancing
      mental imagery and conceptualization.
    Graduates of the workshop will receive a Certificate of
    Tactile IE Workshop Participation

ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 8 of 13
    Workshop Registration
     Registration should be carried out on the website:             Applicants for LPAD courses, IE
      www.icelp.org (see registration form below).                    2, IE-Basic-2, and all Trainers
     If you do not have access to the Internet, print the            courses are reminded to send
      registration form and mail or fax it to “Workshops Europe       documentation of prerequisite
      2009”, ICELP, POB 7755, Jerusalem 91077, Israel. Tel:           training and experience.
      972-2-5693304 Fax +972-3-542-6620; e-mail:                     Full attendance of training activities
      sr@icelp.org.il                                                   is required including the evaluation
                                                                        session on July 16.
                                                                    Certificates will be given at the end
                                                                    of the workshops on July 16 at 18:00
    Workshop Tuition Fees
        LPAD-1: Euro 1,400                                          Tuition fees can be paid by bank
        LPAD-2, LPAD-Basic: Euro 1,500                               (cashier’s) check, bank transfer,
                                                                      or by international credit card (No
        IE-1, IE-2, IE-Basic 1: Euro 1,300                           personal checks are accepted)
        IE Trainers-1, Trainers-2, Trainers IE Basic: Euro 1,300    Early registration discount of 10%
        IE-Basic 2: Euro 750                                         for tuition fees paid before April 2,
     Renewal seminar, Tactile IE: Euro 550                           2009.
     MLE for clinicians: Euro 750                                   Deadline for workshop
                                                                      registration: June 1, 2009. After
    ICELP reserves the right to cancel any workshop that
                                                                      this date, applicants may be
    has fewer than 10 participants registered. In case of
                                                                      accepted depending on
    cancellation by ICELP, tuition fees will be fully
                                                                      availability of workshop places,
    reimbursed.
                                                                      subject to payment of a workshop
                                                                      fee surcharge of 5%.
    Workshop - EU Stipends
     The 2009 summer courses in Feuerstein’s Structural Cognitive Modifiability, Instrumental
      Enrichment & Mediated Learning Experience and Learning Potential Assessment Device,
      organized jointly by the International Center for the Enhancement of Learning Potential
      (Jerusalem) and the University of Antwerp (Belgium) are recognized by the European Union
      Life Long Learning Program as professional post-graduate teacher training.
     References in the Comenius-Grundtvig Catalogue:
      http://ec.europa.eu/education/trainingdatabase/
     Type exactly: BE-2009-112-001 for IE, and BE-2009-118-001 for LPAD.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 9 of 13
    EU Stipend Application Procedure
     Applicants who work in kindergarten, primary or secondary schools or in adult education as a
      teacher or other professionals (e.g. educational psychologists), and who are residents of the
      European Union (except Italy) and EFTA countries, may apply for a Comenius 2.2c (In-service
      teacher training) or Grundvigt 3 (Adult education) grant to their respective National Life Long
      Learning Program LLP Agencies.
     First contact your National LLP Agency to ask if you are eligible and to download the necessary
      forms from the National Agency website. Addresses of the NAs can be found on:
        http://ec.europa.eu/education/programmes/llp/national_en.html
     Request a "preliminary acceptance letter" from the official organizer in Europe: University of
      Antwerp, Project Learning Enhancement and Inclusion, c/o Prof. Jozef Lebeer, Campus 3 Eiken,
      Universiteitsplein 1, 2610 Wilrijk, Belgium, fax +32 3 820 25 26, e-mail jo.lebeer@ua.ac.be
     Send a brief motivation letter (name & address of correspondence, profession, age, workplace,
      motivation to do this course, preliminary knowledge about Feuerstein’s theories, involvement in
      inclusive education).
     An acceptance letter from the University of Antwerp is only “on principle”. Under no
        circumstances can this be the basis for any claim for free participation.
     Then send a duly filled-out application form to your National Agency, together with the
        acceptance letter from University of Antwerp.
     Simultaneously with applying for a grant, the participant must register at the ICELP (International
        Center for the Enhancement of Learning Potential, Jerusalem – www.icelp.org ) Send your
        application to the Workshop Secretary (sr@icelp.org.il) mentioning that registration is dependent
        on the grant approval.
     This course is organized within the framework of Project DAFFODIL, Dynamic Assessment of
        Functioning for development toward inclusive learning.
    Participants with Italian nationality are not eligible for a Comenius or Grundvigt grant for a course in
    Italy. The EU Commission only gives grants to study abroad.


    Special Stipends for Italian Participants
    A limited number of partial stipends are available for groups of Italian participants who wish to
    attend the following courses: IE-1, IE-2, IE-Basic-1, IE-Basic-2. A group should have at least 5
    people registering for the same course. The tuition fees after reduction of the stipend are: for IE-
    1, IE-2, & IE-Basic-1 - 750 Euro, for IE-Basic 2 - 500 Euro. Early registration discount does not
    apply. Stipend requests should be sent to the workshop secretary sr@icelp.org.il before May 1,
    2009.
    Hotel Details
    Mercure Royal Torino, 249 Corso Regina Margherita,Turin             Special workshop prices:
    10144, Italy. Telephone: +39-011-4376777; FAX: +39-011-              Single room, including breakfast,
    3716998; email: info@hotelroyaltorino.it                              lunch and 2 coffee breaks: 119
    http://www.mercure.com/gb/hotel-6531-mercure-torino-                  euro/day (96 euro without lunch).
    royal/index.shtml                                                    Per person in double room
                                                                          including, breakfast, lunch and 2
    Transportation:                                                       coffee breaks: 84 euro (61 euro
    Airport “Casselle” (20 min by taxi)                                   without lunch).
    From train station Porta Nuova, tram No 9 to “Martinetto est”.       Book directly at the hotel by
                                                                          mentioning ICELP workshop
    By car: from Milan – highway A4 exit Tangenziale Ovest C.so           package.
    Regina Margherita; from France – highway A32, exit
    Tangenziale Ovest C.so Regina Margherita.                            Participants who do not stay at
                                                                          the hotel have to add 10 euro/day
                                                                          conference facilities surcharge to
                                                                          their registration fee.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 10 of 13
ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 11 of 13
Registration Form for 30th International ICELP Workshops - Europe
   Send this form to: International Workshops-Europe, POB 7755, Jerusalem 91077, Israel
   Fax +972-3-542-6620 Email: sr@icelp.org.il
       For which ICELP 30th
       International Workshop
       course are you
       registering?
       Surname:

       First name:

       Address:

       City:

       Country:

       Postal code:

       Phone:                             Home:                      Office:   Mobile:

       Fax:

       Email:
                                              Teacher Certificate
                                              BA
       Highest educational
       attainment: [mark one]                 MA
                                              Ph.D.
                                              M.D.
       Profession/Occupation

       Place of work
       Previous LPAD or/and
       IE training (course and
       year)
                                    Authorized IE Training Center
                                    School
                                    Training programs for adults
     Context in which you
                                    University
     use (or plan to use)
     LPAD/IE methods:               Medical setting
                                    Psychological services
                                    Private educational practice
                                    Private clinical practice
   Full attendance of training activities is required. Evaluations will be carried out and
   certificates of attendance given at the end of the workshops on July 16 at 18:00.




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 12 of 13
   Payment of Tuition Fees
                          Bank transfer to ICELP, account number 206865, Bank Hapoalim, 3
   Option 1:              Avizohar St, Jerusalem, Israel. Bank number: 12, Branch number: 694
   BANK                   Swift code: poalilit. IBAN: IL126940000000206865
   TRANSFER               Participants/organizations who choose to make payment via bank transfer
                          must fax to ICELP(fax: 972-3-5426620) a copy of the transfer confirmation
                          including the following details:

                          Name of your bank and the date of transfer

                          Name of the person or organization making
                          transfer

                          Name of the workshop participant


   Option 2:              Your bank check should be made payable to "ICELP" and mailed to International
   BANK CHECK             Workshops-Europe 2009, POB 7755, Jerusalem 91077, Israel
                          Name of the person or organization making
                          payment

                          Name of the workshop participant


                          Check number and name of bank


   Option 3:     We accept Visa, Master Card and
   INTERNATIONAL American Express. Please state which card
   CREDIT CARD   you are using:
                          Name of card-holder as it appears on the
                          card

                          Name of the workshop participant


                          Card number


                          Card expiry date


                          Security number on the back of the card


                          Signature of the card-holder                   X




ICELP 30th Summer Workshops - Europe, Turin, Italy • Page 13 of 13

				
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