YOU ARE INVITED TO …
The 22nd Annual APSE National Conference The only national conference focusing solely on integrated employment Westin Hotel June 14-16, 2011
Inside: Breakout Sessions, Keynotes, Sponsor & Exhibitor Information & more!
2011 National APSE Early Registration Ends on April 15th!
Register online: www.apse.org
APSE Board of Directors Jon Alexander President Minnesota David Hoff Vice President Massachusetts Cesilee Coulson Treasurer Washington Susan Rinne Secretary Indiana Jennifer Joyce Delegates Chair New Jersey Betsy Barnes Member Arkansas Sherry Becker Member Iowa Cindy Bentley Member Wisconsin Dennis Born Member Indiana Mike Capps Member Florida Vic Gable Member Ohio Patricia Ghiossi Member Louisiana Howard Green Member Virginia Patricia Gutowski Member New Jersey Lindsey Haaser Member North Carolina Cathy Healy Member Virginia Katherine Inge Member Virginia T.J. Monroe Member Ohio Elizabeth Perry Member North Carolina Wendy Quarles Member New York
Employment For All - Believe It!, Achieve It! Dear APSE Friends, On behalf of National APSE and the newly formed Washington APSE Chapter, we welcome you to the wonderful Pacific Northwest. We promise delightful weather and a unique opportunity for those who have not been to Seattle. The 22nd Annual Conference theme says it all – Believe It! Achieve It! And now is the time to focus our energies on Hnsuring all people with disabilities have meaningful opportunities to bring their talents to the workplace. We are excited to offer a range of Pre-Conference Sessions on Monday June 13th. The pre-conferences will include Assistive/Information Technology to Support Independence & Success in the Workplace, Linking Discovery & Job Development: A Customized Approach, Public Policy, Transition and Organizational Change. Launching the conference this year will be a national leader in the field of disability and employment, Lynnae Rutledge! Lynnae is someone very familiar to those of us in the northwest. We welcome home the former Director of Washington State Division of Vocational Rehabilitation and now the esteemed RSA Commissioner as our opening keynote speaker. On June 15th, there will be a large Employer Forum and a National Awards Luncheon. These events will feature and recognize “the best of the best” in the Westin’s magnificent Grand Ballrooms. The breakout tracks will focus on Consumers, Family & Self Advocacy, Transition from School to Work, Diversity, Job Development & Marketing, Job Supports, Funding & Public Policy, Mental Health, Autism, Assistive Technology and International Disability Rights & Employment. The conference format will provide rich learning opportunities and allow for valuable networking and of course, quality entertainment and fun! There is definitely something for everyone. Please join us as we Believe It! – every person with a disability will be included in their communities as valued workers earning at least minimum wage – and Achieve It! – building on the experiences of your colleagues in the field. We look forward to seeing you in Seattle! Sincerely,
Laura
Cesilee
Cindi
Laura Owens Executive Director APSE
Cesilee Coulson Co-President WA APSE
Cindi Kirchmeier Co-President WA APSE
Conference Features Keynote Speakers Keynote Speakers
Opening Keynote - Lynnae Ruttledge, Rehabilitation Services Administration Commissioner “Working Together to Create More Successful Partnerships”
Commissioner Lynnae Ruttledge has headed the Rehabilitation Services Administration since January 2010. Previously, Ms. Ruttledge served as the Director of the Washington Department of Social and Health Service, Division of Vocational Rehabilitation, and in various leadership positions with the Oregon Department of Human Services, Office of Vocational Rehabilitation Services, for more than 25 years. Ms. Ruttledge began her public service career in Michigan as a classroom teacher in the public school system. She has received numerous recognitions and awards for her service including the Washington Governor's Award for Leadership in Management in 2007. Ms. Ruttledge not only has a vast professional knowledge of the vocational rehabilitation system, but she also has the perspective from personal experience as an individual with a disability who received services from the Department of Vocational Rehabilitation.
Closing Keynote - Kristin Rytter, Ph.D. “Hope is Fuel for Believing and Achieving” Kristin Rytter has spent most of her life overcoming her physical disabilities. Shattering barriers with passion and determination, Rytter has earned a doctorate from the University of Washington, the top academic echelon in her field. Although she cannot speak and cannot use her hands or feet, she has found ways to communicate, at times spending 10 hours a day researching and writing. Kristin communicates using an "eye code" she and her father developed when she was young. She can type on a laptop computer by moving her head against sensors, tapping out words in Morse code. That's how she wrote her dissertation -- all 200-plus pages of it. Since she has lived with a physical and a speech disability for her whole life, she gives families of people with disabilities a valuable perspective, emotional support, guidance, and hope.
Other Conference Features Pre-Conference Day
Pre-Conference sessions will be held on Monday, June 13th. Session themes include Assistive/Information Technology, Job Development, Transition, and Public Policy.
Exhibits
Visit our exhibitors from across the country to check out the latest tools, products, and research for enhancing and expanding integrated employment.
Membership Breakfast
Meet the National Board Members and APSE Foundation Board Members at the annual APSE membership meeting. Hear APSE’s Board President on the future of APSE, followed by a facilitated discussion on current and future APSE Initiatives.
Opening Night Reception & Karaoke
Come out for the Opening Night Reception and Karaoke. There will be light refreshments, a no-host bar and karaoke with a former national karaoke champion.
APSE Dance Party with Papa Josh
Get your dancing shoes on for live music by Papa Josh on Wednesday evening. Papa Josh will entertain you with his warm tones and soul filled melodies that can be heard, taken in and danced to.
Employer Leadership Forum
A must attend event for all business leaders to discuss the merits and logistics of integrated employment for citizens with disabilities.
Breakout Sessions This year’s conference will feature a wide array of high quality breakout sessions on the latest innovations in employment of people with disabilities. Featured strands include best practices in job development and job supports; transition from school to work; self-employment and entrepreneurship; Social Security work incentives; and public policy and funding. The conference will also feature numerous open discussion sessions, providing invaluable opportunities for sharing, discussion, and debate on a wide variety of topics with conference attendees from around the world.
A Sampling of Breakout Sessions Include: Managing Individualized Needs for Employment The Way to Work: Seamless Transition for all Youth Job Development in a Tough New Labor Market: It’s All About Networking and Connections Use of Non-Traditional Supports for Success in the Workplace Employment First: Moving from Policy to Practice Beyond the Basics: Supports that work for People with Mental Health Diagnosis Making the Employment Glove Fit Em and Jerri’s Coffee Company What Color is Transparent? Learning about Life & Work from those on the Autism Spectrum Customized Employment: Open Discussion Small Towns/ Big Opportunities
Date Date
Conference Schedule
Pre-Conference Monday June 13, 2011 DAY ONE Tuesday June 14, 2011
DAY TWO Wednesday June 15, 2011
DAY THREE Thursday June 16, 2011
EventEvent
TimeTime
Pre-Conference Morning Sessions Pre-Conference Afternoon Sessions Early Registration Chapter Leadership Summit Conference Attendee Orientation
8:30 am 1:00 pm 7:30 am 2:00 pm 5:00 pm
- -11:30 am am 11:30 - -4:00 pmpm 4:00 - -5:00 pmpm 5:00 - -5:00 pmpm 5:00 - -5:30 pmpm 5:30
Registration General Session - World Cafe Employer Leadership Forum Breakout Session Awards Lunch Breakout Sessions Exhibits Walking Tour of Seattle APSE Dance Party with Papa Josh
7:30 am 8:30 am 8:30 am 10:15 am 11:45 am 1:30 pm 7:30 am 4:30pm 7:00 pm
-- 5:00 pmpm 5:00 --10:00 am am 10:00 --11:30 amam 11:30 --11:30 amam 11:30 --1:15 pmpm 1:15 -- 4:15 pmpm 4:15 -- 5:30 pmpm 5:30
Registration Opening Keynote Session Breakout Session Lunch Break (on own): own) Breakout Sessions Exhibits Opening Night Reception & Karaoke
Registration Membership Breakfast Meeting Breakout Session Closing Keynote Session
22nd Annual APSE National Awards Luncheon
7:30 am 8:30 am 10:45am 12 noon 1:30 pm 7:30 am 7:00 pm
- - 4:30 pmpm 4:30 - -10:30 am am 10:30 - -12:00 pmpm 12:00 - -1:30 pmpm 1:30 - -5:45 pmpm 5:45 - -5:30 pmpm 5:30 - -11:00 pmpm 11:00
-- 11:00 pmpm 11:00
7:30 am - - 12:30 pmpm 12:30 7:30 am - - 9:15 amam 9:15 9:30 am - - 10:45 amam 10:45 11:00 am - -12:30 pmpm 12:30
Employer Leadership Forum
APSE will recognize and honor award nominees in a spectacular Awards program.
You are cordially invited to attend the Employer Leadership Forum
Wednesday, June 15th 11:45 a.m. - 1:15 p.m.
Date: Wednesday, June 15th Time: 8:30 a.m. - 11:30 a.m. Cost: $45.00 per person (Breakfast included)
Awards will be given for: Professional Award…Individual
Best Practice Award … Organization Employer Award…Small
Employer Award...Medium Employer Award…Large
Personal Achievement Award Rebecca McDonald Award Wendy M. Wood Award
Torch Award—Lifetime Achievement
RSVP to Cathy Sacco ~Email:
[email protected] Phone: (509) 263-5613
Highlights Opening Address with Dow Constantine, King County Executive Employer Keynote Address Business Panel Great Roundtable Dialogue
Join local and national professionals in a discussion designed to generate action and new partnership that will advance the field of integrated employment.
Hotel and Travel Information
APSE has arranged special rates for conference attendees at the conference headquarters - the Westin Seattle located in the heart of downtown Seattle. The Westin Seattle is steps away from major attractions such as Pacific Place Shopping Center, Pike Place Market, and the Space Needle.
To Make Reservations:
Please call Hotel Reservation Phone Number: (206) 728-1000 Make sure to mention that you are with the National APSE Conference Room Block June 14-16, 2011 Make your reservations by May 23, 2011 to receive the National APSE room rate of $179.00 per night Reservations must be guaranteed with a major credit card. Check in time is 3pm and Check out time is 12 noon. APSE Room rates are available three days prior and after the conference for your convenience. Parking at the hotel is $39.00 per day.
Getting to Seattle: Airtran Airways is offering a 10% discount to all conference attendees. To take advantage of this special program, contact the AirTran Airways EventSavers Desk at 1-866-683-8368 for reservations. When booking your flight, please provide the Event Savers Coordinator with Event Code: SEA061011 and the name of the event: APSE National Conference.
Getting to the Hotel:
Light Rail- The Sea-Tac Airport Station provides accessible Link direct service to downtown Seattle using the Central Link to the Westlake Center Transit Station which is 1 & 1/2 blocks from the Westin Seattle. Fare: $2.50 one-way Downtown Airporter - The Downtown Airporter provides accessible shuttle service to the Westin Seattle. To make a reservation: 866-566-3300 or visit downtownairporter.com. Fare: $15.00 one-way/$25.00 Roundtrip
For more Information: www.portseattle.org/seatac/ ground
The Westin Seattle 1900 5th Avenue Seattle, WA 98101 (206) 728-1000
While you are in Seattle… Nearby Attractions: The Space Needle Seattle Waterfront Seattle Art Museum Pike Place Market First Starbucks Coffee Shop Olympic Sculpture Park Seattle Aquarium Seattle Public Library Seattle Center Victoria Clipper Ferry Woodland Park Zoo Science Fiction Museum The Gum Wall
For more Information: www.visitseattle.org www.seattle.gov/visiting
Pre-Conference Sessions 8:30 a.m. - 11:30 a.m.
Morning Session #1:
Morning Session #1 8:30 a.m. - 11:30 a.m. Assistive/Information Technology to Support Independence & Success in the Workplace Presenters: Apple, Inc., W.i.S.e & Tango Consulting
A demonstration and Question and Answer period with Ron Ustach from Apple, Marsha Threlkeld of the Washington Initiative for Supported Employment (WiSe), and Katherine Carol of Tango Consulting. Experts from Apple will demonstrate accessibility technologies and features built into Macs, iPhones, and iPads. They will also share information about software applications and solutions available for these devices to add additional interesting features for independence and productivity. We will discuss questions such as: How do we maximize independence in the workplace using AT? How do we know which piece of equipment will work best for each person? Do we go with iPad, iTouch, iPhone, or old school? What features come loaded in the equipment and which do we need to acquire as an app? Is it possible to try equipment out before purchasing? How do we as employment professionals use this technology to network and communicate more efficiently? We will focus our efforts on independence and productivity in the workplace and success in school to work transition. Be a part of maximizing the use and effectiveness of technology and learn with interested others in the field of integrated employment.
Morning Session #2 8:30 a.m. - 11:30 a.m. An Employment First Public Policy Agenda: What It Is and How To Achieve It Presenters and Facilitators: Members of the APSE Public Policy Committee
Significant progress in the employment rate of people with disabilities requires a public policy agenda that results in legislation and public policies that will move an Employment First agenda forward. Doing so requires having the right mix of messages and specific strategies that will successfully engage legislators, policymakers, and the general public. At this interactive session attendees will work together to create a public policy agenda and strategies that will positively impact employment of people with disabilities. Specific topics will include: what is the overall message of such an agenda, what are the key “talking points” and “asks” to achieve significant increases in employment, what should be focused on and what should be avoided, and what are the key legislative and policy mechanisms for incorporating this agenda at the state and federal level. Attendees will then discuss strategies for achieving such an agenda as individuals, as well as how APSE and APSE chapters can work together in supporting these efforts. Join us for what is sure to be a fun and lively discussion as we work together to create a strong and vibrant public policy agenda and strategy that ensures the call for Employment First is heard from the State House to the White House, and on Capitol Hill.
Morning Session #3 8:30 a.m. - 11:30 a.m. Organizational Change: Making Employment for All a Reality Everywhere Presenters: Susan Rinne, Darla Wilkerson and John Butterworth
The last two decades have seen numerous service providers make major shifts in the focus of their services, from congregate, facility-based services to community employment. It is clear that with the right combination of vision, strategic planning, and perseverance, organizations can successfully undertake this journey. Yet, on a national basis the majority of individuals served by disability service systems still spend their days in facility-based programs, rather than working successfully in the community. The purpose of this session is to look at the strategies that have proven successful for service providers that have undertaken organization change efforts, and what it will take to make such efforts universal across the United States. The session will start with a look at the current status of organizational change efforts nationally. We will then take a look at the strategies that individual service providers have used in undertaking organizational change, and the context within which these efforts have occurred in terms of public policy, and the support of funding agencies. From there, there will be a discussion of “lessons learned”, that will include discussion and debate about the continued resistance to shifting service delivery to community services, and the development of strategies for addressing these issues at the local, state, and federal level. If you are an organization that is contemplating or undertaking an organizational change effort, an individual who is assisting organizations in these types of efforts, or an advocate for practice and policy changes that will result in a major shift from facility-based services to community employment, this session is for you.
Pre-Conference Sessions
Afternoon Session #1
1 p.m. - 4 p.m.
Linking Discovery & Job Development: A Customized Approach
Presenters: Cary Griffin, Molly Sullivan & Janet Steveley of Griffin-Hammis Associates, LLC This presentation uses numerous examples from urban, suburban and rural settings to illustrate how the Discovering Personal Genius assessment approach is used to develop solid vocational themes that drive targeted, individualized, and creative job development. Customized Employment techniques will be examined, and an emerging structure resulting in the development of at least 3 overarching vocational themes supported by 20 local work environments for each theme “where the career makes sense” combine to form a solid career plan. This session includes discussion of business ownership as a viable option; the use of amalgamated funded sources; SSA Work Incentives; and team roles. Staff development recommendations and resources will be highlighted. Further, this session will detail how the non-comparative approaches to job development used in Customized Employment, as opposed to traditional competitive and charity models, benefit people with disabilities, and how negotiated jobs demand attention to social capital, economic development, and shared interests between applicant and employer.
Afternoon Session #2 1 p.m. - 4 p.m. Making Your Voice Heard: Strategies for Effective Public Policy Advocacy Presenters and Facilitators: Members of the APSE Public Policy Committee
In these challenging times, strong public policy advocacy is more critical than ever. Successfully engaging legislators and policymakers at the federal, state, and local level, is critical to ensuring there is sufficient support in terms of both funding and public policies that result in steady progress and major increases in employment of people with disabilities. At this session, attendees will learn how to conduct successful legislative advocacy through interactions with legislators and development of advocacy campaigns. The session will include discussions of how to build relationships with legislators and communicate effectively with them through written communication, phone calls, and in-person meetings. Attendees will also learn about strategies for developing an effective legislative advocacy campaign, including the importance of strong coalitions with a clear message, the critical role of individuals with disabilities and families in such efforts, and targeting of key legislators. The increasing critical use of social media as an organizing and advocacy tool will also be discussed. Interwoven within the session will be discussions of how APSE, APSE chapters, and members can more effectively utilize the strategies discussed to achieve public policy goals. Attendees will leave this session with a variety of tools and practical strategies for developing and implementing strong public policy advocacy efforts.
Afternoon Session #3 1 p.m. - 4 p.m. Transition from School to Work: What’s working? What’s next? And Employment for ALL! Presenters: Richard Haines, Lake Washington School District Transition Academy; Michael Goodwill, Lake Washington School District Transition Academy & PROVAIL: Marsha Threlkeld, Washington Initiative for Supported Employment
This pre-conference session will showcase a partnership between the Lake Washington School District Transition Academy and PROVAIL. As the need to support students and families to successfully transition from school to post secondary opportunities, the Lake Washington Transition Academy and PROVAIL have partnered to streamline this process and create a sustainable model that leads to employment at or before graduation. The partnership between the Academy and PROVAIL is a relationship that has evolved with active contributions from school, parents and the community. It is a value and an effort that is sustained by continued conversations and collaboration. It has provided a streamlined approach and resource for students and parents as they navigate adult services before exiting school. Come hear how this approach and collaboration has worked in a variety of Washington Communities and how it could work in yours.
APSE Pre-Conference Day Registration Form APSE is excited to offer a range of Pre-Conference Sessions on Monday June 13th. The morning sessions will run from 8:30am to 11:30am and afternoon sessions will run from 1:00pm to 4:00pm. Lunch is not included, however there will be a 90 minute break for lunch on your own.
Pre-Conference Day Registration Fees:
APSE Members: $50.00 for 1 Session / $75.00 for 2 sessions (1 morning & 1 afternoon session) Non-Members: $75.00 for 1 Session/ $100.00 for 2 sessions (1 morning & 1 afternoon session) Space is limited, and pre-conference sessions will be filled on a first come, first serve basis. Only Pre-paid registrations will be accepted. First Name
Last Name_____________________________________________
Job Title
Company Name
Street Address City
State
Zip
Telephone Number
E-mail
APSE Member #_________________________
___ Check here if you would like Membership Information.
Please select Morning and/or Afternoon Pre-Conference Day Sessions (descriptions are on page 6 and 7): Morning Sessions
8:30am - 11:30am Afternoon Sessions
1:00pm-4:00pm
#1 Assistive/Information Technology to Support Independence & Success in the Workplace
#1 Linking Discovery & Job Development: A Customized Approach
#2 An Employment First Public Policy Agenda: What It is and How to Achieve it
#2 Making Your Voice Heard: Strategies for Effective Public Policy Advocacy
#3 Organizational Change: Making Employment for All a #3 Transition from School to Work: What’s working? Reality Everywhere What’s next? And Employment for ALL!
Payment Information:
___Credit Card
___Check (Make payable to APSE)
___ PO#______________
APSE Members: $50.00 for 1 Session / $75.00 for 2 sessions (1 morning & 1 afternoon session) Non-Members: $75.00 for 1 Session/ $100.00 for 2 sessions (1 morning & 1 afternoon session) Total: ___________________________ ____Visa
____Mastercard
____Am Express ____Discover
Security Code:___________________
Credit Card #
______
Expiration Date:_ ______
___ _
______
_
Billing Address:______ Name on Card
Signature:
APSE Cancellation Policy: April 8th is the final day to cancel with a full refund minus a 25% processing fee. After April 8th, you will receive half of the registration fee minus a 25% processing fee.
Please return this form & payment to APSE Mail:
APSE, 451 Hungerford Drive, Suite 700, Rockville, MD 20850
Email:
[email protected]
Questions:
Please contact Jenny Levet at
[email protected] or call (804) 278-9187
FAX: (301) 251-3762
Sponsorship Opportunities
Sponsorship Opportunities
Venti Sponsor
$35,000 +
Premier Conference Sponsor
Short Sponsor
$10,000
Employer Leadership Forum Sponsor
The Venti Sponsor is the premier sponsor of the APSE National Conference and will be recognized throughout the conference .
The Employer Leadership forum brings business leaders together to discuss the merits and the logistics of integrated employment.
Company logo and hotlink in the APSE e-newsletter, theAdvance, throughout the year reaching members in all 50 states Full page color advertisement in conference program Company logo and hotlink on APSE homepage Eight complimentary registrations Two complimentary booths in exhibit hall Ballroom recognition display Opportunity to make introductory remarks at a conference event Recognition in pre-conference email promotions Recognized on APSE’s Facebook, Linkedin, & Twitter Pages One time use of APSE post-conference attendee email list in electronic format
Sponsorship of the APSE Employer Leadership Forum Company logo and hotlink on the APSE website Half-page advertisement in conference program Two complimentary registrations Complimentary booth in exhibit hall Company listing on APSE website and APSE newsletter, theAdvance Recognition in pre-conference email promotions
Grande Sponsor
$25,000
Awards Banquet Sponsor
The APSE Awards Banquet is the premier event highlighting APSE National Award nominees and winners. Sponsorship of the Awards Banquet Company logo and hotlink on the APSE homepage Company logo and hotlink in the APSE e-newsletter, theAdvance Full page advertisement in the conference program Six complimentary registrations Two complimentary booths in exhibit hall Recognition in pre-conference email promotions Recognized on APSE’s Facebook, Linkedin, & Twitter Pages One time use of the APSE post-conference attendee email list in electronic format
Tall Sponsor
$15,000
APSE Networking Events Sponsor Sponsorship of the APSE Networking Events Four complimentary registrations Complimentary booth in exhibit hall Half Page advertisement in conference program Company logo and hotlink on APSE homepage and in APSE’s e-newsletter, theAdvance One time use of APSE post-conference attendee email list in electronic format Recognition in pre-conference emails
Doppio Sponsor
$5,000
Membership Breakfast Sponsor
The APSE Membership Breakfast highlights APSE’s current and future initiatives. Sponsorship of the APSE Membership Breakfast One complimentary registration Quarter page advertisement in conference program Complimentary booth in exhibit hall Company listing on APSE website and APSE newsletter, theAdvance Recognition in pre-conference email promotions
Solo Sponsor
$1,000
Hot Topic Discussion Sessions Sponsor Sponsorship of a Hot Topic Discussion Session Quarter page advertisement in the conference program Company listing on APSE Website and APSE newsletter, theAdvance Recognition in pre-conference email promotions
For more information please contact: Jenny Levet Conference Sponsorship Coordinator
[email protected] or 804.278.9187
Advertising Opportunities Opportunities Advertising
Conference Program
Promotional Product
Advertisements
Advertisements
Full-page black and white Ad 7.5” width x 10” height $750
Half-page black and white Ad 7” width x 4.5” height $500
Quarter-page black and white Ad 3.5” width x 4.5” height $300
(Available on First Come, First Serve basis) Conference Bags $7,500 Your company logo will accompany the APSE logo on the 2011 APSE National Conference bags. Conference Umbrellas $6,000 Your company logo will accompany the APSE National logo on conference umbrellas, a special gift to all attendees. Conference Pedometers $5,000 Your company logo will accompany the APSE National Logo on the conference pedometers, a special gift to conference attendees. Hotel Key Cards $5,000 Your company logo will be placed on the Westin hotel key cards for conference attendees. Conference Lanyards $3,000 Your company logo will accompany the APSE National logo on the conference lanyards.
Bag Insert (Advertisers may send flyers, catalogs, or other promotional items for inclusion in the conference bags.)
$300
For more information please contact: Jenny Levet Conference Advertising Coordinator
[email protected] or 804.278.9187
Exhibitor Opportunities Showcase your business, services, products or research to an anticipated audience of over 850 attendees from all 50 states and several foreign countries this summer by exhibiting with APSE during the 2011 APSE National Conference at the beautiful, downtown Westin Seattle. Exhibit Dates and Hours:
Tuesday, June 14: 7:30 a.m. – 5:30 p.m. Wednesday, June 15: 7:30 a.m. – 5:30 p.m.
APSE Exhibitor Benefits: Exposure for your company to an anticipated 850 to 1,000 attendees Skirted table and two chairs Recognition in APSE pre-conference advertising including recognition in pre-conference and post-conference issues of APSE’s e-newsletter, theAdvance Recognition on the APSE website Recognition in the conference program including full listing of your business contact information as well as a 75 word description of your business One time use of conference post-conference attendee email list in electronic format Complimentary continental breakfast and afternoon refreshments both days Complimentary admission for ONE exhibit representative to the APSE Awards Luncheon Banquet with opportunity to purchase additional tickets to this event
For more information on exhibiting and to request an exhibitor’s contract, please contact: Paula Johnson, APSE Local Contact
[email protected] or call (360) 606-2961 Betsy Elwood, APSE Exhibit Coordinator
[email protected] or call (804) 278-9187
Financial assistance may be available for Supported Entrepreneurs through the APSE Foundation. Contact Betsy Elwood for more information.
A BIG Thank You Goes Out To The 2011 National Conference Sponsors, Exhibitors & Advertisers AAIDD CARF Clark County DD DK Arts Elsevier College of Direct Support Georgia APSE Handhold Adaptive Indiana APSE Indiana Institute on Disability & Community Impact Publications Internal Revenue Service Job Accommodation Network King County DD Kansas APSE Kelderman Klassy Glass Louisiana APSE Lewis County DD Massachusetts Rehabilitation Commission Maine APSE New Jersey APSE New York State APSE Safeway Service Alternatives, Inc. Spokane County DD Tennessee APSE VCU-RRTC Washington Initiative on Supported Employment Wisconsin APSE
There’s still time to sponsor, exhibit and advertise at the 2011 National APSE Conference! Contact Jenny Levet at
[email protected] or (804) 278-9187
APSE 2011 National Conference Registration Online Registration is available at www.apse.org First Name
Last Name_____________________________________________
Job Title
Company Name
Street Address City
_State
Telephone Number
Zip E-mail
APSE Member #
___I will attend the Awards Luncheon on Wednesday, June 15th included in my registration fee. ___Awards Luncheon Guests are welcome at $40 per person. Name of Guest (s): _______________________ ___Vegetarian Meal requested ___I will attend the APSE Membership Breakfast on Thursday morning, included in my registration fee. Conference fees include Thursday Membership Breakfast and Awards Luncheon. APSE Cancellation Policy: April 8th is the final day to cancel with a full refund minus a 25% processing fee. After April 8th, you will receive half of the registration fee minus a 25% processing fee.
Please list any disability related accommodation needs and special dietary needs (e.g. sign language interpretation, Braille, or large print materials, etc.) All requests need to be made by May 2, 2011. _______________________________________________________________________________________________ _______________________________________________________________________________________________ Conference Registration Fees
Early Rate On or before April 15
Regular Rate On or before May 23
Late Rate On-site or after May 23rd
APSE MEMBER
Payment Information Make Check payable to APSE PO#
Individual Fee
$295.00
$340.00
$385.00
Students with ID
$175.00
$200.00
$225.00
Family Members/Individuals with Disabilities
$175.00
$190.00
$210.00
NON-MEMBER Individual Fee
$425.00
$450.00
$500.00
Students with ID
$200.00
$225.00
$250.00
Family Members/Individuals with Disabilities
$200.00
$225.00
$250.00
Awards Banquet Guest
$40.00
$40.00
$40.00
____Visa
____Mastercard
Credit Card #
____Am Express
______
___
Security Code:____________________
__
Expiration Date:_______
___
Name on Card:
______________ _______
Signature:
TOTAL Amount Due:
___ ____
Please note: Individual rates are intended for anyone who works in supported employment, rehabilitation, or related fields. Please return this form & payment to APSE
Mail:
APSE, 451 Hungerford Drive, Suite 700, Rockville, MD 20850
Email:
[email protected]
FAX:
(301) 251-3762
Questions:
Please contact Jenny Levet at
[email protected] or call (804) 278-9187
Sponsor, Advertising & Exhibitor Application Sponsorship Levels
Contact Name Title
Rate
Venti Sponsor
$35,000
Grande Sponsor
$25,000
print name exactly as it should appear in all marketing and promotional materials.)
Tall Sponsor
$15,000
Short Sponsor
$10,000
Street Address
Doppio Sponsor
$5,000
Solo Sponsor
$1,000
Conference Program Advertising
Rate
Full page
$750
Half page
$500
Quarter page
$300
Bag insert
$300
Promotional Products Advertising
Rate
Conference Bags
$7500
Conference Umbrellas
$6,000
Conference Pedometers
$5,000
Hotel Key Cards
$5,000
Title
Conference Lanyards
$3,000
E-mail
Exhibitor Fees
Company Name (Please
City State
Zip
Phone Number
_________
Fax Number E-mail
Co. Website Other Representative: If someone other than the key contact will be representing your company, please provide his/her name, title, and contact information below: Contact Name
Are you a first time exhibitor?
Yes
or
No
If yes, how did you hear about APSE? __________________ Please email Black and White Advertisements to Jenny Levet at
[email protected] by May 6, 2011 to be included in the program. Advertisements should be in a JPEG or PNG Format with a minimum of 300 dpi. Questions: Please call 804.278.9187 or email Jenny Levet at
[email protected]
Payment Information
Deluxe Rate (includes 1/4 page Ad in conference program)
$850.00
Standard Rate
$600.00
Supported Entrepreneur Rate
$150.00
Additional Awards Luncheon Ticket TOTAL:
Mastercard __
Purchase Order #__ Credit Card # Expiration Date Name on Card Signature
$40.00 $
Please Note: Conference Registration is not included in Exhibit Rates. Please return this form & payment to APSE by May 6, 2011
Check payable to APSE Visa __
Rate
Am Express __
Mail:
APSE 451 Hungerford Drive, Suite 700 Rockville, MD 20850
Email:
[email protected]
Fax:
301.251.3762
Questions:
804.278.9187
APSE Membership Application Business Memberships
Name_____________________________________________
(Note: APSE dues are not tax deductible)
Business _________________________________________
Address___________________________________________ City ____________________State _______Zip____________ Telephone (_______)________________________________ E-mail ____________________________________________ I heard about APSE ? 2011 APSE National Conference
Individual Membership
APSE is supported by membership dues. We appreciate your honesty when selecting your annual income category. Basic Member
$ 105 $ 85 $ 60 $ 25
Annual income greater than $26,000 Annual income between $17,000 and $25,999 Annual income between $10,000 and $16,999 Annual income less than $10,000
If you would like to give a Gift Membership to someone, please contact APSE. $ 250 Contributing Member - includes $105 individual membership plus $145 tax-deductible donation to the APSE Foundation. $ 500 Sustaining Member - includes $105 individual membership plus $395 tax-deductible donation to the APSE Foundation. Please provide the following information. I am a (n): Citizen with a Disability Family Member Student (not yet working in the field) Employer Professional (please give your job title)________________________________ My Business is a (n): For Profit Business SE Provider State Agency School Federal Agency University Advocacy Organization Rehab Facility Other (specify)___________________________________
Membership Enhancements Journal of Vocational Rehabilitation (JVR) APSE Members: Electronic access free; print copy: $75/yr
Yes! Apply my APSE discount and start/continue my
subscription to a print copy of the JVR at $75.00.
Yes! I want to contribute to the APSE Foundation in the amount of $ ___________.
Yes! I want to sponsor a Citizen with a Disability at $25.00.
Basic Business Member: - $700. Includes all individual member benefits for up to eight individuals: an electronic version of theAdvance newsletter, action alerts, electronic JTPR and APSE Connections, and up to eight votes in elections and other voting issues. Contributing Business Member: - $900. All member benefits as a Basic Business Member, PLUS 5% discount (above the already discounted membership rate) for national conference and training registrations for the eight members, and a certificate of membership for display.
Gold Business Member: - $1,500. All member benefits as a Contributing Business Member PLUS an additional two individual members (*Total of Ten); listing in all four newsletters of theAdvance, hotlink to your business on the home page of the APSE website, 10% discount on additional individual memberships from your business and APSE Plaque for display in your business; Businesses must designate individuals who will be covered under a Business membership below or attach a list of members.
Name
E-mail
1. ____________________________________________________________________ 2.____________________________________________________________________ 3.____________________________________________________________________ 4. ___________________________________________________________________ 5. ___________________________________________________________________ 6. ___________________________________________________________________ 7. ___________________________________________________________________ 8. ___________________________________________________________________ *9. __________________________________________________________________ *10.__________________________________________________________________
Payment Instructions: Send check, purchase order or credit card information with your application to: APSE • 451 Hungerford Drive, Suite 700 • Rockville, MD 20850 Canadian and other non-US members add $20 to rate Amount Enclosed (US currency only): ______________________ Please Print clearly:
Name on Card ___________________________________________ Card Number____________________________________________ Cardholder Signature_____________________________________ Expiration Date : Month_________________ Year______________ 3 digit Security Code ___________________ VISA MasterCard Am. Express
EIN: 54-1470501
451 Hungerford Drive, Suite 700 Rockville, MD 20850
22nd Annual APSE National Conference June 14-16, 2011 Seattle, WA Pre-Conference Day ~ June 13, 2011 Inside: Breakout Sessions, Keynotes, Sponsor & Exhibitor Information and More!
www.apse.org 2011 National Conference Hosts
To become a Sponsor of the APSE 2011 National Conference, please contact APSE at 804.278.9187 or
[email protected]
