38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Washington Hilton » Washington, DC. FIRST-AID TRAINING OF TRAINERS » APRIL 15-17 PSRP JUMP-START » APRIL 16-17 PSRP PROFESSIONAL ISSUES CONFERENCE » APRIL 17-19 Please type or print. Online registration is available at go.aft.org/PSRP2015. Note: If registering using this form, a separate form is required for each participant. Name: __________________________________________________ Name for Badge: ____________________________ Local/Organization Name: __________________________________ Local Number: ______________________________ Job Title: ______________________________________________________________________________________________ AFT Member Non-AFT Member Indicate if this address is: Home Local/State Staff Work State/Local Union Preferred Mailing Address: _______________________________________________________________________________ City: _________________________________________________ State: ____________________ ZIP: ____________ Work Number: _____________________ Home Number: ____________________ Cell Number: ___________________ E-Mail: _____________________________ Fax Number: ________________________________ REGISTRATION DEADLINES: Early Bird, by March 11 Regular, by March 20 Late, after March 20 Registration fees to be paid by: Individual Member’s Local FEES: $85 $90 $95 Other (specify): ___________________________________________ The AFT is providing one free registration fee per local, so calculate your total accordingly. (Excludes PPC member locals.) Form of payment: CHECK—enclosed for $____________________. MAIL THIS REGISTRATION FORM WITH PAYMENT INFORMATION TO: American Federation of Teachers / PSRP 2015 Attn: PSRP c/o Michawn Blakeney 555 New Jersey Avenue NW Washington, DC 20001 Name (as printed on check): _________________________________________________________. Make check payable to AFT and mail to: American Federation of Teachers, P.O. Box 791212, Baltimore, MD 21279-1212. Cardholder’s Name (print):___________________________________________ Amount Paid: $ ______________ Credit Card Number: Exp.: ____________________________________________ _______/_______ (MasterCard or Visa accepted) Cardholder’s Billing Address: ___________________________________________________________________________ Cardholder’s Signature: _______________________________________________________________________________ These sessions are open to all conference participants, but they require pre-registration and are on a first-come, first-served basis. We will do our best to accommodate you. PSRP Conference Jump-start Please let us know if you plan to attend Part I, Part II or both. Part I, Fighting Forward: Together We Are Stronger—Thursday, April 16, from 2 p.m. to 5 p.m. Part II, Fighting Back: Changing the Narrative—Friday, April 17, from 9 a.m. to noon Parts I and II—Fighting Forward and Fighting Back Job Group Discussions: (Please indicate which job group discussion you will be attending) Custodians, PreK-12 and College Systems Financial and Accounting in PreK-12 Central Administration Financial and Administrative in College Systems Maintenance and Skilled Crafts, PreK-12 and College/University Security and Campus Police, PreK-12 and College/University Food Service/Child Nutrition Transportation/Bus Drivers Secretary/Clerical, PreK-12 School-Based Technical and Student Services, College/University Paraprofessionals ____ Community and Parent Liaisons ____ Computer Labs ____ Elementary Classrooms ____ Health Room ____ Media Centers ____ Middle and High School Classrooms ____ Pre-K, Early Childhood and Head Start Programs ____ Working in Title I Programs ____ Working with Children with Autism ____ Working with Students with Behavioral Disorders ____ Working with Students with Severe or Profound Physical Disabilities ____ Working with English Language Learners SPECIAL NOTE: Hotel reservations must be made separately on the forms provided. Do not contact the Washington Hilton directly to make reservations. You can access hotel reservation forms online at go.aft.org/PSRP2015. Questions? Call us at: 800-238-1133, ext. 4696, or e-mail: [email protected]. 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Conference Costs 1. REGISTRATION FEE: $90 ($85 early bird, before March 11). The registration fee includes: ■ All conference materials and a canvas briefcase ■ Friday evening reception following the general session (there is a small charge for drinks) ■ Saturday morning continental breakfast ■ Saturday luncheon 2. HOTEL ROOM RATES We hope you find this chart useful when estimating costs for attending the PSRP Conference. To help you budget costs, we have also indicated the per-person rates for double, triple and quad rooms. Please note that all rooms contain either one king bed or two double beds. A rollaway can only be added to a room with a king bed, at $35 for your entire stay. The room rates listed below include a 14.5 percent sales tax. Washington Hilton 1919 Connecticut Ave. N.W. Washington, DC 20009 Room Rates: One night Two nights Three nights Four nights Single (one adult in room) $239.31 $478.62 $717.93 $957.24 Double (two adults) Per Person $239.31 $119.66 $478.62 $239.31 $717.93 $358.97 $957.24 $478.62 Triple (three adults) Per Person $267.93 $ 89.31 $535.86 $178.62 $803.79 $267.93 $1071.72 $357.24 Quad (four adults) Per Person $296.56 $ 74.14 $593.12 $148.28 $889.68 $222.42 $1186.24 $296.56 3. QUESTIONS? Contact Michawn Blakeney in the AFT PSRP department at 800-238-1133, ext. 6326, or at [email protected]. 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Hotel Reservation Instructions and Information *** Hotel reservations can now be made online at go.aft.org/PSRP2015conf. However, you can still reserve your hotel room by completing and returning the hotel reservation forms (please refer to the instructions below). 1. Deadline: All hotel reservation requests must be made on the Hotel Reservation Form and Conference Rooming List. The hotel reservation deadline is Wednesday, March 11. Phone reservations will not be accepted. Please type or print clearly, and fill in the form completely. Reservations cannot be made without all the requested information. After the deadline, unused rooms will be released back to the Washington Hilton and may not be available at the conference rate. 2. Send reservation forms to: AFT/PSRP Conference Housing 555 New Jersey Ave. N.W., Washington, DC 20001 OR fax to the AFT Meetings and Travel Department at 202-879-4558 3. Guarantee/Deposit: The Washington Hilton requires a one night’s room and tax deposit. By credit card: Locals that wish to use a credit card for their participants must complete the enclosed credit card authorization form and return it with the other reservation forms. By check: If a personal check is used as your deposit for the first night’s room and tax (made payable to Washington Hilton), it should be sent in at the time the reservation is submitted, and it will only be refunded if the reservation is canceled at least 72 hours prior to the arrival date. If the balance of your stay is being paid by check, we must receive it one week prior to your arrival date. *** The hotel does not accept purchase or money orders. 4. Date Changes/Cancellations/Name Changes: Date changes, cancellations and name changes must be submitted in writing to the AFT meetings and travel department by fax, mail or email (contact information is below under item 9). 5. Room Rates: Per night Including 14.5% tax Single (one adult in room) $209.00 $239.31 Double (two adults) $209.00 $239.31 Triple (three adults) $234.00 $267.93 Quad (four adults) $259.00 $296.56 6. Parking: The Washington Hilton offers both self-parking and valet parking. Self-parking is $36/day and valet parking is $46/day. 7. Check-in and Check-out: The Washington Hilton check-in time is 4:00 p.m. and check-out time is 11:00 a.m. 8. Early Departure Fee: Guests checking out prior to their reserved check-out date will incur an early departure fee equal to one night’s room and tax. Guests wishing to avoid an early departure fee should advise the hotel at or before check-in of any change in their planned length of stay. 9. Questions? Contact Kim Randolph at 800-238-1133, ext. 4529 (or at [email protected]), or Karen Zook at 800-238-1133, ext. 4476 (or at [email protected]), in the AFT meetings and travel department. 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Hotel Reservation Form PLEASE RETURN THIS ENTIRE FORM TO: AFT/PSRP Conference Housing 555 New Jersey Ave. N.W., Washington, DC 20001 OR fax to the AFT meetings and travel department at 202-879-4558. *** Deadline for hotel reservations is Wednesday, March 11. 1. NAME AND TITLE (CONTACT PERSON FOR ALL RESERVATION): Local Name And Number: _______________________________________________________________________________ Address: _______________________________________________________________________________ City: _________________________________________________ State: ____________________ ZIP: ____________ Work Number: _____________________ Home Number: ____________________ Cell Number: ___________________ E-Mail: _____________________________ Fax Number: ________________________________ 2A. INDIVIDUAL RESERVATION (ONLY 1 ROOM NEEDED) Reservation for: ________________________________________________________________________________________ Sharing with: __________________________________________________________________________________________ Arrival Date: ________________________________________ Single($239.31) Quad Double($239.31) 1 King Bed Triple($267.93) 2 Doube Beds Departure Date: ______________________________ ($296.56) 2B. GROUP RESERVATIONS (2 OR MORE ROOMS NEEDED) Please use the conference rooming list form to indicate names, arrival and departure dates, and room requests. Total Number of Rooms Needed: ___________________________ _____ # of Singles ($239.31) _____ # of Doubles ($239.31) _____ # of Triples ($267.93) _____ # of Quads ($296.56) FOR AFT USE ONLY: _____________________ RECEIVED _____________________ TO HOTEL 3. RESERVATION GUARANTEE BY CREDIT CARD Cardholder’s Name (print):_______________________________________________________________________________ Credit Card Number: ___________________________________________________ Exp.: _______/_______ (MasterCard or Visa accepted) If the above credit card is being used to pay for the entire stay of the guest(s), and the cardholder will not be present, the cardholder will need to complete and return the attached credit card authorization form. BY CHECK (Payable to Washington Hilton) Check #: ___________________________________________________ Amount $:______________ 4. SPECIAL REQUIREMENTS: If any of your participants require special accommodations or services, please indicate them below. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Rooming List *** Deadline for hotel reservations is Wednesday, March 11. 1. NAME OF ROOM OCCUPANT: ____________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ ROOM REQUEST: 1 KING BED 2 DOUBLE BEDS 1. NAME OF ROOM OCCUPANT: ____________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ ROOM REQUEST: 1 KING BED 2 DOUBLE BEDS 1. NAME OF ROOM OCCUPANT: ____________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ Sharing with: _____________________________________________ Arrival Date:___________ Departure Date:____________ ROOM REQUEST: 1 KING BED 2 DOUBLE BEDS IF YOU NEED ADDITIONAL SPACE, PLEASE MAKE COPIES OF THIS PAGE. FOR AFT USE ONLY: _____________________ RECEIVED _____________________ TO HOTEL Credit Card Payment Authorization Form Please complete all areas below. Incomplete requests may be rejected. This form must be received at least 5 business days prior to the Check-In, or by specified date in Event Contract, to ensure acceptance of the credit card to be charged. Do not send completed form by email. FAX COMPLETED FORM TO: (202) 879-4558 ATTN: Kim Randolph Date: _________________ Guest / Group Name: Check-In / Event Date / Confirmation Number: Name of Person/Group Making Reservation: Authorized Amount: Phone: Approval Code: CARDHOLDERS - Please complete the following section and sign/date below. Cardholder Name as it Appears on Credit Card: Cardholder Billing Address: City: State: Daytime /Business Telephone: Credit Card Number: Credit Card Type: (Circle one) Visa/MasterCard Credit Card Issuing Bank Name: Date: Zip: Evening Telephone: Expiration Date: American Express Discover JCB Bank Phone Number (from back of your credit card): I agree to cover the following categories of charges: (Please circle) All Charges Room & Tax Food & Beverage AV I agree to cover the above categories of charges up to a Maximum Amount of $ __________________ DIRECT BILL ACCOUNT PAYMENTS ONLY: Name on Invoice/Statement Diners Club Miscellaneous _______ ______ Date on Invoice/Statement Invoice/Statement Number _________________________ ______________ Authorized Amount $_______________________ Note: Charges for room and tax, group deposits or direct bill account payments will be charged to your credit card immediately. Any incidental charges circled above will be charged at the time of check-out. Amount to be immediately charged to credit card for room and tax or deposit: $______________ Final Balance Billed to Credit Card (hotel use only): $_______________ By signing below, you authorize the hotel to charge your credit card immediately for the amount indicated above up to the “Maximum Amount” indicated above. You further acknowledge that if “all charges” has been selected, then all guest/group related charges (less Deposit) will be charged to the above card number at the time of check-out or event conclusion. Cardholder Signature: Date: Trainers Wanted! Once again this year, the AFT health, safety and well-being department is offering a First Aid, CPR and AED Training of the Trainer class. Learn how to administer basic first aid, perform CPR and use an AED (automated external defibrillator). Then, you’ll be ready to teach your co-workers back home the same skills. By attending this three-day class, you can become a certified trainer with a certification card that is valid for two years. THIS HANDS-ON PRE-CONFERENCE TRAINING is certified by the American Safety & Health Institute. Participants will be required to pass a number of skills tests during the course to receive the certification. At the end of the class, participants who successfully complete the three-day training will receive a card valid for two years indicating that they are certified to teach an eight-hour First Aid/CPR/AED class and to issue cards of completion to the participants they train. Act fast, since this pre-conference class is limited to the first 25 applicants! If you are interested in attending, contact Sabrina Simmons for a registration form at 800-238-1133, ext. 5677, or at [email protected]. PSRP CONFERENCE WASHINGTON, DC Wednesday, April 15 – Friday, April 17, 2015 8:30 a.m. – 5:00 p.m. 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Your Local Union Wanted! to the Rescue! Trainers Picture this: Once again this year, the AFT health, safety and well-being department is offering a First Aid, CPR and AED Training of the Trainer class. Learn how to administer basic first aid, perform CPR and use an AED (automated A small PSRP local union … external defibrillator). Then, you’ll be ready to teach your co-workers back home the same skills. Its members facing many challenges … They need help, they need training,Bythey need ideas, and they need … attending this three-day class, solidarity you can become a certified trainer with a certification card that is valid for Training, ideas and solidarity they two can only get at the AFT PSRP Conference! years. THIS HANDS-ON PRE-CONFERENCE TRAINING is certified by the American Safety & Health Institute. Participants will be required to pass a number of skills tests during the course to receive the certification. At the end of the class, participants who successfully complete the three-day training will receive a card valid for two years indicating that they are certified to teach an eight-hour First Aid/CPR/AED class and to issue cards of completion to the participants they train. Act fast, since this pre-conference class is limited to the first 25 applicants! Donate a gift card or basket for the raffle at this year’s meeting and support the PSRP Conference Scholarship Fund. Help us bring a PSRP leader/activist to next year’s conference. If you are interested in attending, Funds raised from raffle sales will help a PSRP local that hasn’t been able to pay contact Sabrina Simmons for for conference attendance the last five years send someone to next year’s event. a registration form at 800-238-1133, ext. 5677, If you donate a gift card, please bring one that: or at [email protected]. • Can be used anywhere in the country; and • Is from a retailer that is public school and union friendly. PSRP CONFERENCE WASHINGTON, DC A tisket, a tasket—you still can donate a basket! – If you want to stick with tradition Wednesday, and donate aApril gift 15 basket Friday,great Apriltoo. 17, 2015 that represents your state or city, that’s 8:30 a.m. – 5:00 p.m. If you plan to send your gift card or basket donation to the AFT, items must be received by Friday, April 3. Please do not bring gift cards from anti-public school or anti-union retailers, such as Wal-Mart. 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE
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