Consultation FormWelcome! Please fill out the questionnaire below to provide more details. Name * First Name Last Name Preferred Pronouns * They Them Theirs He Him His She Her Hers Other Email * Text / VP (###) ### #### Role * Tell me a little more about your Deaf education program. * What are the current support systems and interventions for behavior support and mental health? * What are your hopes for our work together? * What are some topics or trainings that you think your district or program would benefit from? (Check as many as you'd like and I'll include options in your proposal.) * Social Emotional Learning in DHH Early Childhood Positive Behavior Management in the Classroom Zones of Regulation (adapted for DHH Students) Multi-Tiered System of Supports Sensory Needs of DHH Students (Early Childhood) Social Emotional Learning Competencies and Milestones Time Out vs. Calm Spot (in the classroom or at home) Mindfulness in the DHH Classroom Supporting Students who are Deaf and Autistic Hearing Parent/Caregiver Support Group Specific workshops for FAMILIES of DHH Children Specific workshops for Mainstream Teachers who have DHH students in their classrooms Vicarious Trauma & Self-Care Training for DHH Teachers Other Is there anything else you'd like me to consider before your consultation? Thank you!
