Questions & Additional Information

Region VII Head Start Association
Donna Veatch, Executive Director
122 Teton Ridge Drive
Lake Winnebago, MO 64034
Phone: 816-537-7801
Fax: 816-537-7802
Email: r7hsa@comcast.net

First Name:
Last Name:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email Address:
Current Position:
Past Employment Positions:
Credentials:
Please indicate if you have published work:	Yes No If yes, please list articles, books, etc.
Are you registered with state training agency?	Yes No If no, please explain
List two professional references which will be forwarded to programs upon request for verifying training skills and expertise.
REFERENCE 1
Name:
Title:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
REFERENCE 2
Name:
Title:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
PLEASE LIST YOUR CONSULTANT REQUIREMENTS
Fee:
Travel Reimbursement:	Yes No
PLEASE INDICATE YOUR SPECIFIC AREAS OF EXPERTISE
Program Governance Internal Controls ERSEA Technology Strategic Planning Disabilities Health Services Mental Health Mental Health Assessment Positive Behavior Support DECA/Devereau Oral Health Parent Involvement Father/Male Involvement Early Childhood Development Early Head Start Early Brain Development	Fiscal Systems Federal Monitoring Human Resources Grant Writing Succession Planning Program Option: Home Base Option Assessment Instruments Child Assessment Instruments ECERS ITERS Literacy Safety/Crisis Intervention Partnership Development Poverty Advocacy Legislation Other
Curriculum:	Yes No Please indicate your curriculum expertise:
	Math Science Music & Movement Other
Tracking Software:	Yes No If yes, please list below:
Do you have experience working with Adult Learners? Yes No Transference of Learning? Yes No (please describe)
Disclaimer: Region VII Head Start Association is serving as a resource only and in no way supports or endorses registered consultants. It is the responsibility of the Head Start grantee or contracting organization to check references, etc. of potential trainers.