Registration Form

Literacy through Multisensory Teaching
Academic Language Therapy Preparation

Advanced Course Part II

An individual is eligible to enter the LMST Advanced Academic Language Therapy Course Part II once he/she has successfully completed both parts of the Introductory Course and Advanced Part I

The Advanced Course Part II is a continuation of Advanced Part I in addition to support services.

The fee for the Advanced Course Part II is $2000.00.  Scholarship money may be available.  Payment is due upon registration for the course.  Check should be made payable to Literacy through Multisensory Teaching and submitted with the registration form to
Box 20, Lynbrook, New York 11563



Name:_________________________________________________________________________________________________________


Address:______________________________________________________________________________________________________


Town__________________________________________ State_________________________________________________________


Home Phone#__________________________________ Cell Phone #_________________________________________________


Date Introductory Courses Completed_________________________________________________________________________


Date Advanced Part I Completed______________________________________________________________________________