Application for Helen Beebe Award

By /
PLEASE PRINT THE COMPLETED FORM AND MAIL TO AVI

Name
Degree
Professional Title
Institution
Preferred Mailing Address
City/State/Zip
Daytime Telephone
(Area Code + Number + Extension)
How long have you been a member of AVI, Inc.?
Are you a Certified A-V Therapist? Yes/No       YES        NO

Please submit the following with this application:

  1. Letters of recommendation from at least one Auditory-Verbal Therapist who is a member of AVI stating the reasons this candidate should be considered for the Beebe Award.

  2. Letters of recommendation from at least two families with children on the candidate’s caseload.

  3. A summary of the candidate’s educational and career background in a curriculum vitae or resume. This must include a minimum of three years working as an A-V Therapist upon completion of an accredited degree program in communication disorders or special education.

  4. Submission of a videotape demonstrating the candidate’s teaching methods with children who have severe to profound hearing impairments and their parents. This should be long enough to show different aspects of therapeutic intervention. (Suggested length: one hour.) Candidates may include children with cochlear implants, but not exclusively; and they must demonstrate the basic principles of the A-V approach.

  5. Videotapes must be accompanied by biographical notes and audiograms of the children shown.

  6. Submission of a list of the candidate’s other contributions to the field, such as publications, workshop and conference presentations, etc.
  7. Candidate’s own statement of commitment to the Auditory-Verbal philosophy.
Signature Date

 

 

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