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Dyslexia Friendly Librarian Challenge Completion Form
Complete the form below to receive your Dyslexia Friendly Librarian Certificate and a PQBD pin!
1.
Name
2.
Library System
3.
Position at the library
4.
Email Address
5.
Mailing Address
6.
I completed the following activities
DOE Module
IDA Fact Sheets* indicate which ones in the space below
Visit and explore the Decoding Dyslexia Virginia Facebook Page
Dyxlexia documentary
Simulation
I read the following IDA fact sheets:
7.
What impact will this challenge have on your work?
8.
I am interested in hosting a Decoding Dyslexia support group in my library. I understand I only act as host--the participants run the group.
Yes
No
Maybe, I need more information
9.
My library would like to know how to become a Dyslexia Friendly Library.
Yes-please respond to the comment field below.
No
Please list who should be contacted with more information on how to become a Dyslexia Friendly Library.
