Registration Brochure - AIRS 2015... · THE ALLIANCE OF INFORMATION & REFERRAL SYSTEMS (AIRS)...

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Co-Sponsored By: e National Aging Information and Referral Support Center Information & Referral connecting people to community services Registration B r a n d i n g I & R E x c e l l e n c e D a l l a s 2 0 1 5 D a l l a s 2 0 1 5 B r a n d i n g I & R E x c e l l e n c e 37th I&R Annual Training and Education Conference May 27- 30, 2015 Sheraton Dallas Hotel, Dallas, Texas THE ALLIANCE OF INFORMATION & REFERRAL SYSTEMS (AIRS) Registration Brochure Brochure AIRS: Setting Standards for Information and Referral Services www.airs.org

Transcript of Registration Brochure - AIRS 2015... · THE ALLIANCE OF INFORMATION & REFERRAL SYSTEMS (AIRS)...

Page 1: Registration Brochure - AIRS 2015... · THE ALLIANCE OF INFORMATION & REFERRAL SYSTEMS (AIRS) Brochure AIRS: Setting Standards for Information and Referral Services . 2 AIRS 2015

Co-Sponsored By: The National Aging Information

and Referral Support Center

Information & Referralconnecting people tocommunity services

RegistrationBranding I&R Excelle

nce

Dallas 2015Dallas 2015

Branding I&R Excellenc

e

37th I&R Annual Training and Education Conference

May 27- 30, 2015Sheraton Dallas Hotel, Dallas, Texas

THE ALLIANCE OF INFORMATION & REFERRAL SYSTEMS (AIRS)

RegistrationBrochureBrochure

AIRS: Setting Standards for Information and Referral Services www.airs.org

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2 AIRS 2015 Training and Education Conference

AIRS 2015, powerful networking and education! The Alliance of Information and Referral Systems (AIRS) in collaboration with the National Association of States United for Aging and Disabilities (NASUAD), the National Aging and Disability I&R Support Center, and military family support specialists, invite you to join hundreds of your fellow I&R colleagues at the 37th Annual I&R Training and Education Conference, “AIRS: Branding I&R Excellence”, May 27-30, 2015, in friendly Dallas, Texas.

Top reasons why YOU must attend the AIRS Training and Education Conference:• Connect with the right people at the right time • Learn from leading experts in more than 80 educational sessions and workshops• Take home solutions to your tough challenges from our exhibit hall • Learn new techniques and skills that you can use immediately in your organizations • Earn CEUs for professional development and advancement• Network with your peers at our 5+ networking events• With over 25 sessions a day and many meals provided, it is economical and affordable Our goals are to provide attendees with the skills necessary to:• Work collaboratively with other community organizations to build coordinated systems of service delivery that encourage

cooperation, collaboration and responsible use of limited resources • Maximize the strengths of each of our organizations• Advance the effectiveness of I&R professionals

Who should attend the AIRS I&R Training and Education Conference?Professionals who include:• I&R and I&R/A staff in every sector• Health & Human Service Providers• Disaster Preparation & Recovery Planners• Social Workers• Case Managers• Counselors• Educators• Military Personnel

Conference HighlightsAIRS conferences are known for the breadth of our educational offerings, with nine tracks and more than 80 sessions. The nine tracks include Aging & Disability, I&R Service Delivery, Disaster, Management, Military, Resource Management, Technology and 2-1-1.

This year, AIRS is offering four pre-conference training op-portunities to explore important topics in greater detail. These popular, all-day sessions, known as “The Intensives.” will be held Wednesday May 27th. The sessions run concurrently from 9:00am to 4:15pm. The fee for each Intensive is $150. In order to meet FEMA certification requirements, the Intensive entitled “Management of Spontaneous Volunteers in Disasters” will be provided for free and will run from 8.30am to 4.30pm. To keep the Intensive fees affordable, we will not be providing lunch or refreshments. Due to the nature of these sessions, space is lim-ited and preregistration is required. Please indicate on the regis-tration form which Intensive you wish to attend and include the additional payment (where applicable) with your registration fee.

“The ABC’s of I&R” This workshop is for front-line I&R Specialists who are relatively new to the field or for more experienced staff who will be taking the CIRS or CIRS-A/D exam. This interactive and participatory session will address the practical application of performance-based competencies, the how-to of conducting an effective needs assessment and dealing with a range of client inquiries and types. The session covers all of the fundamentals and enhancements involved in provide a quality I&R service. This Intensive is limited to 28 participants. Instructor: Shye Louis is the Manager of the 211/LIFE LINE, a blended crisis center and I&R program at Goodwill of the Finger Lakes in Rochester, New York. In addition to being an AIRS board member, she has worked in the field of I&R since 1989 and regularly trains both internally with her agency and for outside agencies on issues relating to I&R.

AIRS 2015, powerful networking and education!

Pre-Conference Intensive Training:

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AIRS 2015 Training and Education Conference 3

“AIRS Accreditation Boot Camp: The Ultimate Workout for Success”Always thought about becoming AIRS Accredited but fearful of the process?!? This workshop will provide information and tips for achieving AIRS Accreditation and you will emerge with a ‘readiness self-assessment’ of where your program stands and what remains to be addressed. The majority of organizations that apply for accreditation are generally “accreditable,” but many have deficiencies in their applications that make it necessary for them to go through a second round. This session is likely to eliminate that possibility. The Intensive will apply all of the principles of a classic boot camp to get you accreditation fit: “Stick to Basics”, creating your documentation that reflects reality, not what you think will impress the reviewers; “Follow the Clock”, learn and apply project management timing; “Take it Outside (the box)”, the Standards are the minimum expectations, what else are you doing for the community you serve; and “Buddy Up”, don’t go it alone, join a group so you can align your efforts with others who can help you on the fast track to success. As a further incentive that this is the year to make the move, everyone who completes the intensive will receive a $150 credit to be applied toward the cost of their AIRS Accreditation application (valid through De-cember 31, 2016). This Intensive is limited to 28 participants. Instructors: Mary Cooksey is the Community Resource Cen-ter Program Director for the United Way of Abilene, which is home to 211 Texas A Call for Help. Mary is responsible for leading a public/private collaboration of the United Way of Abilene, City of Abilene, and Texas Health and Human Service Commission. Mary holds a degree in Communications Arts and held a variety of operational, market-ing and sales positions for public and commercial television stations in North Dakota and Texas. In 1996, Mary was named the first director of the National Center for Children’s Illustrated Literature. In 2000, she joined United Way of Abilene as Campaign Director and then de-veloped the 211 service for her community in 2004. She now serves on several state and national boards and committees for the advance-ment of information and referral services. Erin Shilcutt is the 211 Texas A Call for Help Data and Web Ser-

vices Manager. She supervises the maintenance of the resource da-tabase, provides operational management support for alignment with AIRS Standards, and manages the program’s website and cooperative relationship portals. Erin holds both a CIRS and CRS. A Bachelor of Arts graduate from Abilene Christian University, Erin also earned a Certifi-cate in Commercial Photography from the Art Institute of Charleston.

“Adult Mental Health First Aid”Mental Health First Aid introduces participants to risk fac-tors, warning signs, and symptoms for a range of mental health problems; builds understanding of the impact and prevalence of mental health problems; provides an overview of common support and treatment resources for those with a mental health problem; and teaches a five-step action plan for use when pro-viding Mental Health First Aid to an individual in crisis. This is a tremendous learning opportunity not just for staff in blended crisis/I&R agencies, but participants will be in a position to strengthen the ability of any I&R to more effectively handle mental health calls. This Intensive is limited to 28 participants. Instructors: Victoria L. Hummer, MSW, LCSW, is Director of Training & Outreach at the Crisis Center of Tampa Bay, where she is responsible for internal core training for all direct care staff who assist people in crisis, in addition to Trauma Informed Care (TIC), organiza-tional assessment and implementation. She trains the community in Trauma Informed Care, Psychological First Aid and Mental Health First Aid. Vicki is an Adjunct Professor in the Children’s Behavioral Health-care Bachelor’s Program within the College of Behavioral and Com-munity Sciences at the University of South Florida. She has 25 years of clinical experience and 10 years of research experience in children’s mental health, adoption, and child welfare. She has co-authored sev-eral journal articles on trauma informed care.Jennie Pollak, MSW, CIRS, CRS, is the Program Manager for Central Michigan 211 having served in various capacities throughout her years in I&R. Jennie is currently on the Michigan AIRS Board and a Board Member of Do1Thing. She has provided training in both Adult Mental Health First Aid and Youth Mental Health First Aid, and has presented on I&R and Resource Database issues at previous AIRS conferences.

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The National Aging and Disability Information & Referral/Assistance Pre-Conference Summit

“Management of Spontaneous Volunteers in Disasters”This session will introduce the keys to success in managing large numbers of spontaneous volunteers in disasters and provide cer-tification for all participants. The underlying assumption is that much of the volunteer help is usually indeed needed, and that with basic emergency management coordination skills, the vol-unteer resources can be put to effective use, making a positive difference in the affected community. The course will discuss the benefits spontaneous volunteers can bring to relief efforts and the challenges they may bring if not coordinated effectively. In addition, the course will examine planning considerations re-garding spontaneous volunteers. Special emphasis is also placed on how to make full use of a Volunteer Reception Center, the backbone of any well-organized spontaneous volunteer manage-ment program. Participants should have a working knowledge of the Incident Command and National Incident Management Systems (NIMS). In order to meet certification requirements, this session will be provided for free and will run from 8.30am to 4.30pm. This Intensive is limited to 28 participants.

Instructor: Anna Tangredi is the Voluntary Agency Liaison for the Texas Division of Emergency Management, began her career in Beaumont, Texas and is no stranger to hurricanes. She received her college degree from Lamar University and later worked as a child abuse investigator. She moved on to the Texas Dept. of Criminal Justice in the Parole Division and subsequently transferred to the Victim Services division where she held the position of Director of the Crime Victim Clearinghouse. Following Hurricane Katrina, she began volunteering with Central Texas Red Cross where she remains a volunteer. In 2007, Anna joined the Texas Division of Emergency Management and subse-quently worked Hurricanes Dolly, Gustav, Eduardo, Ike, Alex and flood-ing events from Hermine, Eagle Pass, Temple & Killen, Round Rock, the Bastrop Complex fires, the West explosion, the Granbury tornadoes and many more. She has also been deployed to New York and Okla-homa to help with donations management in those states. Anna is one of only six full-time State Voluntary Agency Liaisons in the U.S. She is a charter member of the National Association of State Donations and Volunteer Coordinators (NASDOVOC).

Aging and disability professionals in I&R/A are invited to join the National Association of States United for Aging and Disabilities (NASUAD’s) National I&R/A Support Center, the U.S. Administration for Community Living (ACL), the National Association of Area Agencies on Aging (n4a) and the National Council on Independent Living (NCIL) for an interactive day of information sharing, presentations, and discussion with I&R/A and national association professionals prior to the start of the AIRS Conference.

This day-long meeting will include: • A networking continental breakfast  • Discussion focused on peer-to-peer interaction where

participants will share their experiences and innovative practices on several key issues in aging and disability I&R/A service delivery 

• National updates from NASUAD, n4a, ACL and NCIL to provide an opportunity to hear about important trends and developments in aging and disability services

• A special focus on business acumen as aging and disability I&R/A agencies across the county are challenged to both sustain and expand their business model in a rapidly changing environment

Throughout the Pre-Conference Summit, participants will have opportunities to network with peers, participate in group discussions, learn about innovative strategies for service delivery, and consider new approaches to aging and disability I&R/A development. There is no charge to attend this event but pre-registration is required. Contact Support Center Director Nanette Relave at [email protected] with questions or for more information.

The National Aging and Disability Information & Referral/Assistance Pre-Conference Summit

Serving the Military WorkshopsThe sessions in the Serving the Military track have been selected for their value to you, personally and professionally, in helping you meet the needs of military personnel and their families, both Active Duty and Veterans.

AIRS Certification AIRS offers the only internationally recognized credentialing program in the field of Information and Referral.  AIRS Certification exams for I&R Specialists (CIRS), Resource Specialists (CRS) and I&R Specialists in Aging/Disabilities (CIRS-A/D) will be given on Wednesday May 27th at 1:30 pm and Friday May 29th at 2:30 pm. Applications can be downloaded from the AIRS website at www.airs.org/certification. Exam fees vary according to your membership level. All applications and payments must be received together at the AIRS National Office by April 20th 2015, and be approved before applicants will be eligible to take the exam. The fee for the certification exam is separate from the conference registration fee. The exams will be held at the conference hotel with AIRS providing proctor and internet services. Each exam session is limited to 40 examinees.  

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Schedule at a Glance (provisional)Schedule at a Glance (provisional)

Tuesday, May 26

6:00pm – 8:00pm Registration Open

3:00pm – 8:00pm Affiliate Council Meeting

Wednesday, May 27 7:00am – 6:00pm Registration Open

8:00am – 5:00pm National Aging and Disability Information & Referral/Assistance Pre-Conference Summit

9:00am – 4:15pm Intensives

1:00pm – 5:00pm 211 State Directors Session

1:30pm – 3:30pm Certification Exams

4:30pm – 5:30pm Newcomers and Military Orientation and Welcome

5:30pm – 6:30pm Opening Reception in Exhibit Hall

Thursday, May 28 7:00am – 6:00pm Registration Open

8:00am – 9:45am Opening Breakfast

9:30am – 5:00pm Exhibits Open

10:00am – 11:30am Concurrent Workshops

1:00pm – 2:15pm Concurrent Workshops

3:00pm – 4:15pm Concurrent Workshops

6:30pm – 9:00pm Evening and Dinner at the Perot Museum of Nature and Science

Friday, May 29 8:00am – 6:00pm Registration Open

8:30am – 10:00am Concurrent Workshops

9:30am – 4:00pm Exhibits Open

10:30am – 12:00pm Concurrent Workshops

12:15pm – 2:00pm Aging & Disability Luncheon with speaker

2:15pm – 3:30pm Concurrent Workshops

2:30pm – 4:30pm Certification Exams

7:30pm – 9:00pm Dessert Reception and Friends of AIRS Auction

Saturday, May 30 8:00am – 2:00pm Registration Open

9:00am – 10:30am Concurrent Workshops

10:45am – 12:15pm Concurrent Workshops

12:30pm – 2:00pm Annual Meeting and Membership Luncheon

2:15pm – 3:30pm Concurrent Workshops

3:45pm – Conference Adjourns

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Newcomers and Military Orientation and WelcomeWednesday, May 27All new members, first-time and solo attendees are invited to join the AIRS Board of Directors, staff and local hosts to ask questions about AIRS, network, and learn about the conference and the beautiful city of Dallas. This is an opportunity for attendees from all branches of the military to ask questions about AIRS, network, and learn about the conference and the beautiful city of Dallas.

Welcome ReceptionWednesday, May 27Join your friends, colleagues and AIRS exhibitors at the opening event of the AIRS conference. Enjoy light appetizers and a cash bar (average alcoholic drink cost is 10 bucks!!!!) while you get acquainted and re-acquainted with colleagues from around the country, tour the exhibit hall and meet our exhibitors in a fun-filled atmosphere.

An Evening at the Perot Museum of Nature and Science Thursday, May 28Join us for dinner amid the fun and excitement of the Perot Mu-seum of Nature and Science, enjoy a spectacular view and tour a fascinating interactive museum. The museum has three levels of eleven permanent exhibits including a sports hall where you can test your skills against a T. Rex dinosaur. There will be a cash bar available; the average alcoholic drink cost is $7.00. Take a virtual tour at www.perotmuseum.org. Dinner and admission to the museum is included in your full registration fee.

Dessert Reception and Friends of AIRS AuctionFriday, May 29 Join us for a casual networking dessert reception while you bid on wonderful, unique auction items. Help raise money for AIRS conference scholarships and enjoy a sweet treat. This event is in-cluded in your full registration fee.

AIRS Annual Meeting and Membership Luncheon Saturday, May 30Everyone is encouraged to join us at the annual membership meet-ing including the presentation of the awards of accreditation.

Exhibits Get up close and personal with over thirty exhibitors and or-ganizations dedicated to serving the I&R industry. Visit allied industry associations, software and hardware providers, response and call center providers, equipment and supplies providers and more, all together under one roof to offer you the latest in infor-mation, products and services.

Conference ProceedingsThe conference presentations will be available for free to con-ference attendees via a password accessed web page that will be ready about one week after the conference. This will contain handouts from most of the presentations.

Continuing Education Credits AIRS will award Continuing Education Units (CEUs) to each participant who attends conference workshops designated for CEU credits. The CEU is an internationally recognized unit, designed to provide a record of an individual’s continuing educa-tion accomplishments. One CEU is defined as ten contact hours of participation in an organized continuing education experience under reasonable sponsorship, capable direction and qualified in-struction. Conference participants wishing to receive Continuing Ed-ucation Units (CEUs) need to register on the conference regis-tration form by marking the appropriate box. There is a process-ing and record maintenance fee of $35 for AIRS members and $45 for non-members.

Networking EventsNetworking Events

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Visit these websites for things to do in the Downtown Dallas area:• Visit www.visitdallas.com for more info on

this great city• Dallas Arts District,

www.thedallasartsdistrict.org • Perot Museum of Nature and Science,

www.perotmuseum.org • GeO-Deck at Reunion Tower,

www.reuniontower.com/the-tower/geo-deck

• Dallas Museum of Art, www.dallasmuseumofart.org

• Sixth Floor Museum, www.jfk.org • Dallas World Aquarium, www.dwazoo.com • Zero Gravity Thrill Park, www.gojump.com• Dallas Arboretum,

www.dallasarboretum.org • Six Flags Over Texas, www.sixflags.com• Ft. Worth Stockyards,

www.fortworthstockyards.com• Dallas Zoo and Aquarium,

www.dallaszoo.com • George W. Bush Presidential Library and

Museum, www.georgewbushlibrary.smu.edu/

Hotel Information: The Sheraton Dallas Hotel is conveniently located in the heart of the city. Attendees are responsible for making their room reservations directly with the Sheraton Dallas Hotel. Early reservations are encouraged to ensure rooms at special discounted rates of $129 single occupancy plus tax. This rate is for non-government and government employees. Reservations must be made before May 2, 2015 to receive this special pricing.  Call 888.627.8191; and be sure to reference AIRS to receive these special low rates.  In order to bring you a conference of this magnitude, it is

important that you stay at the headquarter hotel, so we can continue to ensure the quality of our future programs and low hotel room rates. Roommate matching is available. Contact Amanda Leibert 703.218.AIRS (2477) x 211 or [email protected] Attendees are responsible for making their own travel arrangements. Registration fees do not include hotel or travel. Dallas is easily accessible from all major U.S. cities and is less than four hours by air from any North American city. Two major airports serve the Dallas area and are convenient for staying at the Sheraton Dallas:  Dallas/Ft. Worth International Airport  (DFW) and Dallas Love Field Airport (DAL).

Travel:Airports:• DFW International Airport services 38

international destinations with nonstop flights

• DFW is the 4th busiest airport in the world, serving 57 million passengers a year

• Major airline hub with locally-based American Airlines as its largest carrier.

• Airports Council International survey ranks DFW “Best Airport in North America” for customer service.

• Dallas Love Field Airport, one of the finest general-purpose airports in the world, is served by Southwest Airlines, the largest domestic carrier in the United States

Taxicabs:A taxi to and from DFW airport costs approximately $45-$55 and to and from Love Field costs approximately $25.00.

Shuttles:GO Airport Shuttles operate from the hotel every 30 minutes to DFW, from 5:30am until 4:30pm, or by reserva-tion.  Fare to DFW is $17; Love Field is $19.   For reservations, call 214.841.1900, reservation kiosks are also located in the hotel lobby.

Local Travel: The new Dallas Area Rapid Transit (DART) Orange Line makes a direct stop at both Sheraton Dallas and Dallas/Fort Worth International Airport, making it easy for guests to get to/from DFW and the Sheraton Dallas Hotel. For more information, visit www.dart.org. The new McKinney Avenue Trolley is a free, fun way to get around downtown Dallas and it makes a direct stop at the Sheraton. For more information, visit www.mata.org. Parking: Daily parking rates for $21 for self-parking and $29 for valet parking.

Discounted Auto Rental Rates:AIRS has negotiated discounted auto rental rates with Avis Auto Rental for our attendees. Rates are available from May 25 through June 11. To make your auto rental arrangements, please call Avis at 800.331.1600 or online at www.avis.com and refer to AWD number “J906508” to receive the special AIRS discounted rates.

Weather & Attire:Temperatures range from the mid to high 80’s during the days and evenings. Suggested dress for the conference and social events is casual/business casual.

“The Big D” is the perfect choice for the AIRS conference, boasting a leading business environment, the title of America’s best sports city, the nation’s largest urban arts district, the best shopping in the Southwest, fourteen exciting entertainment districts and a vibrant dining scene. Dallas is easily accessible from all major cities and is less than four hours by air from any North American city. Dallas is a place where optimism meets opportunity and the sightseeing and entertainment possibilities are seemingly endless. From Pritzker Prize-winning architecture and lush green spaces to innovative dining and memorable entertainment, BIG things happen in Dallas. Dallas is a richly diverse city built by passionate people with big dreams and an attitude that all things are are possible. The ninth largest city in the nation and the number one visitor destination in Texas, Dallas has something to offer everyone.

The City of Dallas Welcomes You...The City of Dallas Welcomes You...

Travel:

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Register by April 3 and SAVE! AIRS Members:Basic Level $455Standard Level $432Premium Level $364Aging Network Member $455Texas AIRS Member $364Non-Member $600Single Day Basic Member $240Single Day Standard Member $228Texas AIRS and Premium Member Single Day $192Aging Network Member Single Day $240Non-Member Single Day $340

Register between April 4 - May 22 AIRS Members:Basic Level $525Standard Level $498Premium Level $420Aging Network Member $525Texas AIRS Member $420Non-Member $675Single Day Basic Member $280Single Day Standard Member $268Texas AIRS and Premium Member Single Day $224Aging Network Member Single Day $280Non-Member Single Day $380

Register between May 23 - onsite:AIRS Members:Basic Level $595Standard Level $565Premium Level $476Aging Network Member $595Texas AIRS Member $476Non-Member $745Single Day Basic Member $320Single Day Standard Member $304Texas AIRS and Premium Member Single Day $256Aging Network Member Single Day $320Non-Member Single Day $420

Full Conference Registration Fee Includes: Aging & Disability Summit Wednesday, May 27Workshops Thursday, Friday, Saturday, May 28, 29, 30Welcome Reception Wednesday, May 27Breakfast Thursday, May 28Dinner at the Museum Thursday, May 28 Lunches Friday, May 29 and Saturday, May 30 Dessert reception & AIRS Silent Auction Friday, May 29Admission to the Exhibit Hall, Breaks Wednesday, Thursday, Friday

One-day registrants may attend Thursday, Friday or Saturday only. If you wish to participate in the Evening at The Museum Dinner, Dessert Reception/Friends of AIRS Silent Auction, you must purchase a separate ticket in addition to your one-day registration fee. One-day only registration fee includes:

Thursday only includes: Opening Breakfast Thursday WorkshopsRefreshment BreakAdmission to the Exhibit HallFriday only includes:Friday’s WorkshopsRefreshment BreakAging Luncheon with Speaker Admission to the Exhibit HallSaturday only includes: Saturday’s WorkshopsAnnual Meeting and Membership Luncheon

Special Event Tickets:Tickets for your guests who wish to attend the Welcome Re-ception, Lunches, Breakfasts, Evening at the Museum Dinner and Dessert Reception/Friends of AIRS Silent Auction need to be purchased in advance using the conference registration form. Pre-registration is required as capacities are limited.

Conference Cancellation/Refund Policy:No cancellations will be accepted after April 27, 2015. Cancel-lations prior to this date will be subject to a $100 processing fee. All cancellations must be in writing. Refunds will not be given for no-shows at the conference. If you are unable to attend the conference and have already registered, you may substitute someone in your place for a fee of $75. Please submit substitu-tion changes in writing with your payment to: CONDOR Reg-istration Services, P.O. Box 3348, Huntsville, AL 35810, [email protected]

Conference RegistrationConference Registration

All credit card transactions are processed in U.S. dollars and are subject to the current exchange rates. Only U.S. dollars are accepted. IMPORTANT:  So that all requests and orders can be processed in a timely manner, it is very important that you pay the correct amount. Submitting the wrong amount could cause a delay in processing your registration and/or incur higher registration fees. You must be absolutely sure of your correct membership level.  Your membership level can be found on your “Certificate of Membership” which is sent to either the individual member (if an individual membership) or your organization’s designated contact.

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2015 I&R Training and Education Conference May 27-30, 2015

Sheraton Dallas Hotel, Dallas, Texas“Branding I&R Excellence” Registration Form

First Name: _______________________________________________ Last Name: ______________________________________________ Member #: _______________

Title: _____________________________________________________________________________________________________ DSN # (Military Only): ______________

Organization: _______________________________________________________________________________________________________________________________

Please check: o First Time Attendee o CIRS o CIRS-A/D or CIRS-A o CRS

Address: ___________________________________________________________________________________________________________________________________

City: _____________________________________________________________________________ State/Province: _____________ ZIP/Postal Code: ________________

Phone: _______________________________________________ Fax: _______________________________________________ Country: __________________________

Email: _____________________________________________________________________________________________________________________________________

Emergency Contact Name: ______________________________________________________ Contact Phone #: ________________________________________________

Conference Registration (Select one): By April 3 April 4 - May 23 - Charge AIRS Member May 22 Onsite

o Basic Level. $455 $525 $595 $_________

o Standard Level $432 $498 $565 $_________

o Premium Level $364 $420 $476 $_________

o Texas AIRS Member $364 $420 $476 $_________

o Aging Network Member (unless also an AIRS Premium Member) $455 $525 $595 $_________

o Non-Member $600 $675 $745 $_________

o Single Day Basic Member $240 $280 $320 $_________

o Single Day Standard Member $228 $268 $304 $_________

o Single Day Texas AIRS and Premium Member $192 $224 $256 $_________

o Single Day Aging Network Member $240 $280 $320 $_________

o Non-Member Single Day Registration $340 $380 $420 $_________

Select Day: o Thursday, May 28 o Friday, May 29 o Saturday, May 30

Join today and take the member rate! Contact Membership Director: Moayad Zahralddin 703.218.AIRS x202 or [email protected] * Important: Select the correct membership level. Selecting the incorrect membership level could delay the processing of your registration and/or increase your

registration fees. Your membership level can be found on your “Certificate of Membership” which is sent to either the individual member or your organization’s designated contact.

CONTINUED ON NEXT PAGE

Additional Tickets Requested: (Please indicate number of guest tickets desired.)

Welcome Reception (Wednesday, May 27)..Guests @ $25 $_________

Opening Breakfast (Thursday, May 28) ........Guests @ $40 $_________

Dinner at the Museum (Thursday, May 28) ....Guests @ $65 $_________

Luncheon o (Friday, May 29) .......................Guests @ $60 $_________ o (Saturday, May 30) ..................Guests @ $60 $_________

Dessert reception & AIRS Silent Auction(Friday, May 29) ............................................Guests @ $65 $_________

CIRS, CIRS-A/D, CRS Exam: (Submit application separately to AIRS)

All applications must be received by April 20, 2015 and approved before applicants will be eligible to take the exam. Exam Dates: Wednesday, May 27 & Friday, May 29

Continuing Education Units: Fee

o AIRS members $35 $_________

o Non-members $45 $_________

AIRS Intensives - Wednesday, May 27(Select one, pre-registration required) o AIRS o Non- members members

o The ABC’s of I&R $150 $225 $_________

o AIRS Accreditation Boot Camp $150 $225 $_________

o Adult Mental Health First Aid $150 $225 $_________

o Management of Spontaneous Volunteers in a Disaster No Fee

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Payment Information:

Method of Payment: o MasterCard o VISA o Discover o Amer Exp o Check (Payable to AIRS) Total Charge $_________

o Purchase Order # _______________ (POs must be paid by April 5 to receive early rate. All POs must be paid by April 29, 2015)

Card/Check # _______________________________________________________ Exp Date: ____/ ____ *Verification Code: ________ (See below)

ZIP code for billing address: ________________________*Credit Card Verification Code is 3 digits on back of MC & VISA, 4 digits on front of AmEx

Cardholder’s Name on Card: ____________________________________________ Signature: ________________________________________ All transactions are in U.S, dollars and are subject to current exchange rates, Please make checks payable to AIRS and drawn on a U.S. bank. AIRS Tax 10# 23-7235032

Cancellation/Refund Policy: No cancellations will be accepted after April 27, 2015. Cancellations prior to this date will be subject to a $100 processing fee. All cancellations must be in writing. Refunds will not be given for no-shows at the conference. If you are unable to attend the conference and have already registered, you may substitute someone in your place for a fee of $75. Please submit substitution changes in writing with your payment to: CONDOR Registration Services, P.O. Box 3348, Huntsville, AL 35810, [email protected]

Mail, Fax, or Email Completed Form to: AIRS c/o CONDOR Registration Services P.O. Box 3348, Huntsville, AL 35810 • 256.852.4490Fax: 877.314.6077 Email: [email protected] Online at: www.airs.org/conference

Registration form continued from previous page

2015 I&R Training and Education ConferenceAging Summit- Wednesday, May 27(Pre-registration required-indicate if attending)

The National Aging and Disability Information and Referral/Assistance Pre-Conference Summit (No charge, pre-registration is required.) Please indicate if attending o

Military Branch: o Army o Navy o Air Force o Marines o Coast Guard

I&R Type (select all that apply):

o Agency o ADRC o 211 o Comprehensive I&R (non 211) o Military o Child Care o Other Specialized I&R

Special Needs: o Disability o Dietary Please specify: __________________________

____________________________________

Aging & Disability (select all that apply): o Area Agency on Aging o Aging & Disability Resource Center (ADRC) o Center for Independent Living (CIL) o County Office for Aging or Aging/Disability o State Agency for Aging or Aging/Disability o Other Community Service Organization for Aging/Disability

Position (select all that apply):

o I&R Specialist o Resource Specialist o I&R Supervisor o I&R Manager/Director o IT Specialist o Communications Specialist

o Options Counselors

o CIRS

o CIRS - A/D

o CRS o Other (name): ______________________

Is your agency AIRS accredited? o Yes o No

1. OnlineWe encourage you to register online: www.airs.org/conferenceHave your credit card or online check information ready, including the billing address. If using an online check, have a blank check handy for the ABA (routing) number, account number, and check number. All registrations must be paid by April 3, 2015 to receive early bird rate.

2. Via United States MailVia United States mailMail all completed registration forms and payment to:AIRS Conferencec/o CONDOR Registration ServicesP.O. Box 3348Huntsville, AL 35810Phone: 256.852.4490Fax: 877.314.6077 Email: [email protected]

3. Via Fax Fax all completed registration forms and credit card payment to:AIRS Conferencec/o CONDOR Registration ServicesP.O. Box 3348Huntsville, AL 35810Phone: 256.852.4490Fax:877.314.6077 Email: [email protected]

3 Easy ways to register for the conference:

Confirmations will be emailed/mailed/faxed if your registrations are received and paid in full on or before May 2, 2015.

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AIRS 2015 Training and Education Conference 11

Via mailMail all completed registration forms and payment to:AIRS Conferencec/o CONDOR Registration ServicesP.O. Box 3348Huntsville, AL 35810Phone: 256.852.4490Fax: 877.314.6077 Email: [email protected]

United Way Flexible Credits United Ways will be able to use flexible credits to offset regis-tration and some travel costs for the 2015 AIRS Conference. United Way Worldwide (UWW) Flexible Credits may be used for the conference registration fee and some travel expenses and per diems. To check your flexible credit balance visit: http://on-line.unitedway.org/flexcredits (only for United Way members). The UWW Learning Opportunities policy requires all con-ference costs and expenses be paid in advance.  After completion of the program, submit the following four items with a cover letter to obtain reimbursement through flexible credits to: Reg-istrar, Learning Opportunities, United Way Worldwide, 701 North Fairfax Street, Alexandria, VA 22314. Please contact the Registrar at 703-836-7112 x 237 with questions. Please submit a cover letter stating your CEO’s written permission and the fol-lowing four items: • A copy of the completed registration form and/or invoice • Proof of payment (cancelled check from the bank or a copy of

credit card statement showing the charge and payment) • Receipts for meals, hotel and travel • A one page summary listing the total dollar amount of each of

the following items: travel, hotel, meals

A $35 fee for processing your flexible credit reimbursement re-quest will be charged for this special approved provider offering. Please register before April 3, 2015, which is the cut off day for the “early registration” rate.  Registration for the conference will be reimbursed at the early bird registration rate only ($455 for AIRS Premium members and $600 for nonmembers).  For ad-ditional details on United Way Worldwide travel reimbursement policies visit https://online.unitedway.org/flexcredits  or contact Marcia Struniak, 703.836.7112 x 237 or [email protected]

The National Aging and Disability I&R/A SymposiumNeed to brush up your skills and knowledge of aging and/or disability services? Want to share innovative business practices and service improvement ideas with your national colleagues? Find all this and more at the 2015 National Aging and Disability I&R/A Symposium!  With a pre-conference I&R/A Summit for Aging and Dis-ability professionals, and a full complement of workshops, panel discussions and lively conversation throughout the week, the Symposium is essential for keeping apprised of the latest devel-opments in aging and disability I&R/A. Join us to experience an exciting blend of workshops facilitated by I&R/A, ADRC, CIL, and Federal and National Association professionals from across the country discussing developments and initiatives in aging and disability information and referral programs. Topics such as No Wrong Door system building, ADRC partnerships, serving di-verse consumers, and business strategies will provide insights to help you deliver effective I&R/A programs and services to older adults, people with disabilities, and caregivers.  The National Aging and Disability I&R/A Symposium is convened by the National I&R/A Support Center at the Na-tional Association of States United for Aging and Disabilities (NASUAD), in collaboration with the National Association of Area Agencies on Aging (n4a) and the National Council on Independent Living (NCIL), and with support from the U.S. Administration for Community Living (ACL). The National I&R/A Support Center provides training, technical assistance, and information resources to build capacity and promote con-tinuing development of aging and disability information and re-ferral services nationwide. Contact Nanette Relave at NASUAD, [email protected], with questions.

3 Easy ways to register for the conference3 Easy ways to register for the conference

OnlineWe encourage you to register online: www.airs.org Have your credit card or online check information ready, including the billing address. If using an online check, have a blank check handy for the ABA (rout-ing) number, account number, and check number. All registrations must be paid by April 3, 2015 to receive early bird rate.

Confirmations will be Emailed/Mailed/Faxed if your registrations are received and paid in full on or before May 2, 2015.

Via fax Fax all completed registration forms and credit card payment to:AIRS Conferencec/o CONDOR Registration ServicesP.O. Box 3348Huntsville, AL 35810Phone: 256.852.4490Fax: 877.314.6077 Email: [email protected]

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12 AIRS 2015 Training and Education Conference

For information about AIRSexhibit and sponsorship opportunities contact:Sharon Galler, Conference Director 703.218.AIRS (2477) x [email protected]

AIRS NATIONAL OFFICE:11240 Waples Mill Road, Suite 200Fairfax Va 22030 703/218-AIRS (2477) Phone703/359-7562 [email protected]

The Alliance of Information and Referral Systems

The Alliance of Information & Referral Systems (AIRS) is the international professional association of information & referral providers throughout the United States, Canada and around the world. Incorporated in 1973, the mis-sion of AIRS is to provide leadership and support to its members and affiliates to advance the capacity of a Standards-driven Information and Referral in-dustry that brings people and services together. For more information about AIRS, contact 703.218.AIRS (2477) or www.airs.org.

Important Contact InformationImportant Contact InformationChief Operating OfficerCharlene Hipe703.218. AIRS (2477) x 212 [email protected] Conference DirectorSharon Galler703.218. AIRS (2477) x [email protected] Conference ManagerDanielle Burns703.218. AIRS (2477) x [email protected] Speaker & Program Information:Clive Jones Program Coordinator [email protected]

MembershipMoayad Zahralddin, Membership Director703.218. AIRS (2477) x [email protected] CertificationMaria LeDoux, Certification Director 703.218. AIRS (2477) x 201 [email protected] Military LiaisonLucinda S. LoreiInformation and Referral Program Manager Personal & Professional Development (MFR) Marine and Family Programs Division Headquarters US Marine [email protected]

National Aging and Disability Information & Referral /Assistance SymposiumNanette Relave [email protected] Sharing Amanda Leibert, Administrative Manager 703.218. AIRS (2477) x 211 [email protected] [email protected]

Information & Referralconnecting people tocommunity services