Author: Byron White

June 24—26, 2009
Renaissance Montgomery
Hotel and Spa
at the Convention Center
Conference Registration
Form

This year, Alabama APSE and the Alabama Council for Developmental Disabilities have teamed up to plan and host a “super” conference on disability issues. It’s our desire to provide excellent training, excellent networking opportunities and an opportunity for both personal and professional growth. The economy is presenting challenges for all of us. Therefore, hosting one major event made the most sense. Last year’s APSE conference was a hit at the new Marriott Renaissance Hotel in Montgomery and the planning committee elected to host this year’s event in the same location. Make your reservations early to take advantage of the special room rate.
Some of the highlights planned for the 2009 conference include the annual awards presentations and banquet, a variety of breakout sessions, and excellent keynote speakers, along with a self-advocate track. This years keynote speakers include, Gary Huckaby, Jr., Robert Streater, Colleen Wieck, and Victoria Maxwell. For more information on conference highlights, speakers, and awards, visit the APSE and/or ACDD websites. www.al-apse.org www.acdd.org or call Byron White at 334-353-7713.
We hope to see you in Montgomery in June.
Myra Jones Beth Hanks Byron White
Executive Director
ACDD AL-APSE President AL-APSE President

REGISTRATION FORM
Early Registration Fee
AL-APSE Members: $75.00
Non-AL-APSE Members: $125.00
ADD $25.00 after June 12, 2009
___________________________________________________________
Name Organization
___________________________________________________________
Address City Zip
(____) _____-________ _______________________________________
Telephone Email (for registration confirmation)
ADA Accessibility Needs_______________________________________________________
APSE Member? Yes____ No____ Membership #______________________
____ I will attend Awards Banquet
____ I will attend APSE Membership Breakfast (membership not required)

Continuing Education and CRC Credit Available
There will be a charge of $20 for Continuing Education Credits
This program is offered for up to 9.5 Contact Hours (clock hours) for counselors, social workers and nurses.
This program is co-sponsored by the Department of Mental Health and Mental Retardation, by Alabama APSE, The Network on Employment and the Alabama Council for Developmental Disabilities. The Alabama Department of Mental Health and Mental Retardation is an approved provider of continuing education for Social Workers in the State of Alabama through the Alabama State Board of Social Work Examiners; is an NBCC Approved Continuing Education Provider (ACEPTM) and a co-sponsor of this event/program. The Alabama Department of Mental Health and Mental Retardation may award NBCC approved clock hours for events or programs that meet NBCC requirements. The ACEP maintains responsibility for the content of this event. The Alabama Department of Mental Health is approved as a provider of continuing education in Nursing by the Alabama Board of Nursing, ABNP0150, Expiration Date: July 5, 2009. The Alabama Department of Rehabilitation Services is also serving as a co-sponsor of this event and CRC Credit will be available at the end of the conference.
Counseling Nursing Social Work
A Continuing Education fee of $20 per participant will be charged for each person not directly employed by the Alabama Department of Mental Health and Mental Retardation. A separate check should be made payable on site at the end of the conference to: AL-APSE

By registering for the conference each attendee understands that photographs and videos will be taken throughout the conference for use in publications, presentations, and other events. The photos will remain the property of AL-APSE. Please inform photographer(s) if you do not wish to be photographed.

Make Checks Payable to:
Alabama APSE
Mail Registration Form & Check to:
AL-APSE
c/o ADRS (205) 554-1300
P.O. Drawer 1610
Tuscaloosa, AL 35403

Visa & MasterCard Accepted $2.00 Processing Fee
Card Number__________________________
Expiration Date_______________
____________________________________
Authorized Signature

Cancellation Policy: Registration Fees Cannot Be Refunded, Substitutions Will Be Accepted

Hotel Information

201 Tallapoosa Street
Montgomery, AL 36104
Phone 1-334-481-5000
Fax 1-334-481-5005
Toll-free 1-877-545-0311

Room Rates
Single/Double $110.00
Triple/Quad $120.oo
Cut off for conference room rate
is May 22, 2009

To make your reservations online go to :

http://www.marriott.com/hotels/travel/mgmbr?groupCode

Group Code: APSAPSA

APSE Awards

Plan on joining us Wednesday evening, June 24th, as we recognize winners of the annual awards. The casual western themed event will include food, fun and entertainment. The awards presentations will only be successful if awards nominations are received. Please take time to nominate individual(s) and organizations deserving of recognition. The awards nomination form is available on the AL-APSE website at www.al-apse.org

Award

Self-Advocate Track

This year’s conference will feature a self-advocate track in conjunction with the Full Life Ahead Foundation. The Alabama Council for Developmental Disabilities will have stipends available for self-advocates and their families to attend the 3 day event. Please complete the enclosed application for consideration for a stipend.
A variety of Speakers and Interactive Activities, including
How to Set Goals
Hopes and Dreams
Dating and Healthy Relationships
Freedom of Expression Through Art
Employment Readiness and Mock Interviews
For more information:
Contact Lisa Manly at the Full Life Ahead Foundation
(205)439-6534 or (205)261-1235)
www.fulllifeahead.org

The Full Life Ahead Foundation of H.O.P.E.
Vision: To provide the ways and means for those with life altering disAbilities to take control of their life course to its fullest potential.
Mission: To establish, maintain and coordinate a network of professionals, services and resources to assist those with life altering disAbilities to envision a more meaningful and productive life course through evaluations, education and encouragement.

Please complete both the Consumer Involvement Fund Application and Conference Registration Form and return to Byron White.

Consumer Involvement Fund Application Form
Name: ___________________________________________________
Address: __________________________________________________
City:__________________________Zip: _________________
Phone: H: _____________________ W:__________ ___________
E-mail address:_________________________________________________
Check which applies:
______ I am a person with a developmental disability.
______ My family member is an adult with a developmental disability. (The term family is used to refer to children and their parent(s) or family member(s) who are primary caregivers)
______ I am a parent of a child with a developmental disability.
______ I am the guardian for a person with a developmental disability.
______ Age of individual with a developmental disability
List Activity for Which You Are Seeking Funds to Attend
AL-APSE & ACDD Blazing New Trails June 24 – 26, 2009, Montgomery Renaissance Hotel & Spa
How Will You Share Your Information? :
Have You Attended This Activity Before? _______ Yes ________ No
If Yes, When Did You Last Attend This Event? Date: _____________________
Have You Used the Consumer Involvement Fund Before? _______ Yes ______No
If Yes, For What Event? _____________________________ and When? Date:
_______________________ ____________________________________
Amount Received $ ________________________
Mail To:
Byron White
DMH
P.O. Box 301410
100 N. Union Street
Montgomery, AL 36130
334-353-37713
Fax (334)242-0542

Ethnic Status (optional)
______ Hispanic
______ African-American
______ Asian-American
______ American Indian
______ Caucasian
______ Other
I agree to be a resource person for other consumers, parents, and family members of individuals with disabilities. _________Yes _________No
FINANCIAL ASSISTANCE IS NEEDED FOR:
(Please indicate how much you can pay, how much you can get from other sources and how much you are requesting from the Consumer Involvement Fund)

FINANCIAL ASSISTANCE IS NEEDED FOR:
(Please indicate how much you can pay, how much you can get from other sources and how much you are requesting from the Consumer Involvement Fund)
Approval for one hotel night per person. Must share room with another approved attendee. Please list your preferred hotel roommate:_______________________
(2 people with be approved for 2 nights)
Mail To:
Byron White
DMH
P.O. Box 301410
100 N. Union Street
Montgomery, AL 36130
334-353-7713
Fax (334)242-0542

Tentative Conference Schedule
Wednesday, June 24 Thursday, June 25 Friday, June 26
1:00 P.M. – 5:00 P.M. 8:30 A.M. – 5:00 P.M. 8:30 A.M. – 12:00 P.M.
This conference was specifically designed to inform counselors, nurses, social workers, other rehabilitation professionals, and persons with disabilities and their families how to develop and maintain supported employment and independence. The conference will disseminate information regarding the best practices in supported employment for individuals with disabilities. There is an emphasis on the areas of mental illness, intellectual disabilities, and other cognitive and physical disabilities.
Conference Objectives
After participating in this program, participants will be able
To describe work incentives for people receiving SSI/SSDI and describe the process in formulating a Plan for Achieving Self Support.
To list characteristics of certain mental illnesses and methods of treating these disorders.
To demonstrate an understanding of supported employment needs and challenges for individuals with disabilities including Mental Illness, Mental Retardation, and other Cognitive and Physical Disabilities.
To demonstrate an understanding of the principles of marketing supported employment to employers.

AL-APSE
8228 Royal Oak Court
Montgomery, AL 36117

	Your Funds	Other Sources	Requested Amount
Registration	$	$	$ 75.00
Personal Assistance	$	$	$
Hotel/Lodging	$	$	$ 130.00 (Shared Room)
Mileage	$	$	$
Child Care	$	$	$
Respite Care	$	$	$
Meals	$	$	$
Other	$	$	$

	Your Funds	Other Sources	Requested Amount
Registration	$	$	$ 75.00
Personal Assistance	$	$	$
Hotel/Lodging	$	$	$ 130.00 (Shared Room)
Mileage	$	$	$
Child Care	$	$	$
Respite Care	$	$	$
Meals	$	$	$
Other	$	$	$