Intervener Training Pilot Project Candidate Self-Evaluation

This evaluation is for individuals who are planning to participate in the Intervener Training Pilot Project and have already discussed it with their state deaf-blind project.

The training will offer three courses of study designed to meet the needs of candidates with varying levels of experience providing intervention for children who are deaf-blind. What you learn from this evaluation will help you and your state deaf-blind project determine the course of study that is right for you.

The evaluation requires a great deal of thought and reflection and will probably take about an hour to complete. If you need to take a break, click "Save and continue later" at the top of any page (except the first) and enter your email address.

1. Name: *This question is required.

2. Your email address: This question requires a valid email address.

3. State deaf-blind project contact person: *This question is required.

4. Years of experience working with a student or students with deaf-blindness:

5. Years of experience working with students with severe disabilities:

6. What prior (online or face-to-face) training have you received in deaf-blindness? (Check all that apply.)

None
Training from my state deaf-blind project using the Open Hands, Open Access (OHOA) Intervener Learning Modules
Other training from my state deaf-blind project
Training from other agencies (e.g., Perkins)
Self-study
Other (please describe): Please enter an 'other' value for this selection.

7. What is your educational background? (Choose one.)

8. What was your major?

9. What is your current work setting?

Public school
Private school
Early intervention agency
Other agency

Comments (optional):

10. What is the age of the child or youth with whom you work?

11. How many years have you worked in the educational system (public or private schools)?

Intervener Training Pilot Project Candidate Self-Evaluation

Introduction