38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED ... · 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Conference Costs Washington Hilton 1919 Connecticut

38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCEWashington 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 Local/State Staff

Indicate if this address is: Home Work State/Local Union

Preferred Mailing Address: _______________________________________________________________________________

City: _________________________________________________ State: ____________________ ZIP: ____________

Work Number: _____________________ Home Number: ____________________ Cell Number: ___________________

E-Mail: _____________________________ Fax Number: ________________________________

REGISTRATION DEADLINES: FEES: Early Bird, by March 11 $85 Regular, by March 20 $90 Late, after March 20 $95

Registration fees to be paid by: Individual Member’s Local 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 $____________________.

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: _______________________________________________________________________________

MAIL THIS REGISTRATION FORM WITH PAYMENT INFORMATION TO:American Federation of Teachers / PSRP 2015Attn: PSRP c/o Michawn Blakeney555 New Jersey Avenue NWWashington, DC 20001

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-startPlease 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

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) $239.31 $478.62 $717.93 $957.24Per Person $119.66 $239.31 $358.97 $478.62

Triple (three adults) $267.93 $535.86 $803.79 $1071.72Per Person $ 89.31 $178.62 $267.93 $357.24

Quad (four adults) $296.56 $593.12 $889.68 $1186.24Per Person $ 74.14 $148.28 $222.42 $296.56

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 � nd 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.

3. QUESTIONS?

Contact Michawn Blakeney in the AFT PSRP department at 800-238-1133, ext. 6326,or at [email protected].


*** 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 � ll 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 20001OR 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 � rst 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.

Hotel Reservation Instructions and Information


*** 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: ________________________________________ Departure Date: ______________________________

Single ($239.31) Quad ($296.56)

Double ($239.31) 1 King Bed

Triple ($267.93) 2 Doube Beds

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)

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.

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.

____________________________________________________________________________________________________

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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









Rooming List *** Deadline for hotel reservations is Wednesday, March 11.

FOR AFT USE ONLY:

_____________________ RECEIVED _____________________ TO HOTEL

IF YOU NEED ADDITIONAL SPACE, PLEASE MAKE COPIES OF THIS PAGE.

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: Phone:

Authorized Amount: Approval Code: Date:

CARDHOLDERS - Please complete the following section and sign/date below.

Cardholder Name as it Appears on Credit Card:

Cardholder Billing Address:

City: State: Zip:

Daytime /Business Telephone: Evening Telephone:

Credit Card Number: Expiration Date:

Credit Card Type: (Circle one) Visa/MasterCard American Express Discover JCB Diners Club

Credit Card Issuing Bank Name: 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 Miscellaneous I agree to cover the above categories of charges up to a Maximum Amount of $ __________________

DIRECT BILL ACCOUNT PAYMENTS ONLY: Name on Invoice/Statement _______ ______ 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:


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 � rst aid, perform CPR and use an AED (automated external de� brillator). 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 certi� ed trainer with a certi� cation card that is valid for two years. THIS HANDS-ON PRE-CONFERENCE TRAINING is certi� ed by the American Safety & Health Institute. Participants will be required to pass a number of skills tests during the course to receive the certi-� cation. 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 certi� ed 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 � rst 25 applicants!

If you are interested in attending,contact Sabrina Simmons fora registration form at800-238-1133, ext. 5677,or at [email protected].

PSRP CONFERENCEWASHINGTON, DC

Wednesday, April 15 – Friday, April 17, 2015

8:30 a.m. – 5:00 p.m.

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 � rst aid, perform CPR and use an AED (automated external de� brillator). 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 certi� ed trainer with a certi� cation card that is valid for two years. THIS HANDS-ON PRE-CONFERENCE TRAINING is certi� ed by the American Safety & Health Institute. Participants will be required to pass a number of skills tests during the course to receive the certi-� cation. 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 certi� ed 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 � rst 25 applicants!

If you are interested in attending,contact Sabrina Simmons fora registration form at800-238-1133, ext. 5677,or at [email protected].

PSRP CONFERENCEWASHINGTON, DC


8:30 a.m. – 5:00 p.m.

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 certi-fication. 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


8:30 a.m. – 5:00 p.m.

Trainers Wanted!


Picture this: A small PSRP local union … Its members facing many challenges … They need help, they need training, they need ideas, and they need solidarity … Training, ideas and solidarity they can only get at the AFT PSRP Conference!

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. Funds raised from raffle sales will help a PSRP local that hasn’t been able to pay for conference attendance the last five years send someone to next year’s event.

If you donate a gift card, please bring one that: • Can be used anywhere in the country; and • Is from a retailer that is public school and union friendly.

A tisket, a tasket—you still can donate a basket! If you want to stick with tradition and donate a gift basket that represents your state or city, that’s great too.

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.

Your Local Union to the Rescue!

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38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED ... · 38TH ANNUAL AFT PARAPROFESSIONALS AND SCHOOL-RELATED PERSONNEL CONFERENCE Conference Costs Washington Hilton 1919 Connecticut