October / November 2008, NJSHA
of the New Jersey Speech-Language Hearing Association
NJSHA BOARD OF DIRECTORS: You are Invited to Serve . . . You are cordially invited to run for a position on NJSHA’s Board of Directors. All current members, who have held membership for three consecutive years including 2008, are eligible to run. This year, there will be 5 positions available for three-year terms of office, July 1, 2009 through June 30, 2012,
and one for the one year position, from July 1, 2009 through June 30, 2010. If you, or a colleague, are interested in joining the dynamic leadership of NJSHA, please send a letter stating that you wish to run and whether your interest is in a 3 or 1 year position. The deadline is November 1, 2008.
Submit your letter to: Monique S. Kaye, Chairperson, Nominations & Elections Committee NJSHA, 203 Towne Centre Drive, Hillsborough, NJ 08844-4693, FAX: 908/4501119, email: info@ njsha.org
HONORS & AWARDS: Make your Nomination Today! As NJSHA members, you have the power to acknowledge and celebrate all that is good in the fields of speechlanguage pathology and audiology by participating in NJSHA’s Honors & Awards Program. This is your opportunity to highlight the positive by sharing those stories of August / Septem
ber, 2008, NJSHA
AWARDS NOMINATION FORM
check INATION (please AWARD NOM ation the Associ Honors of the Year Program of e Clinical Servic Distinguished
ber 22nd to: Return by Novem s Committee, Honors and Award Centre Drive, NJSHA, 203 Towne , NJ 08844-4693 Hillsborough
excellence, support and achievement that you encounter in your professional lives. Our last issue of VOICES included all the details on how to nominate an outstanding colleague, successful client, or a non-member individual or organization to receive an award. Log on to our website, njsha.org, for complete rules and regulations. The deadline
The Honors and Awards program is NJSHA’s proudest and most visible means of celebrating accomplishments and communicating our mission to the public. We look forward to receiving your nomination soon and celebrating together at the awards ceremony next May.
e Professional Servic Distinguished Achievement Distinguished Service Award Distinguished
AL NOMINEE ___________ ORGANIZATION _______________ ______ _______________ Name: _____ _______________ ___________ _______________ ______ _______________ _______________ _______________ _ _______________ _______________ _______________ ____ Name: _____ _______________ _______________ _______________ _____ ___ _____ _____ _____ _____ __________ __________ _______________ ___________ Address: _____ _______________ ____ _______________ _____ _____ _____ lty: _____ _ _____ Specia __________ _______________ _______________ _______________ _______________ ___________ _____ _____ Address: _____ _____ _____ _________ __________ _ _______________ _______________ _ _______________ _______________ (for notification): _____ _____ Person _____ t _____ Contac __________ _______________ _______ _______________ _______________ ________ _______________ _____ _____ ation): _____ _____ _____ ______ loyer (for notific _______________ Position/Emp _______________ _________ Degree(s): _____ _______________ ___ _______________ _ _______________ _______________ _______________ _______________ Certification(s): _______________ _____ _____ ____ _____ _____ _____ _____ Degree(s): _______________ _______________ _______________ Work Phone: ): __________ _______________ ___________ Certification(s : __________ ___________ _______________ Home Phone _______________ _______________ _______________ Work Phone: _______________ _______________ E-mail: _____ _ : __________ _______________ Home Phone _____ _____ _______________ E-mail: _____ ee) ing for each nomin include the follow stances (please MATERIAL (please any special circum SUPPORTING the award and of nominee for Form qualifications 1. Nomination describes the mendation that tion) (Optional) 2. Letter of Recom detail as possible) recommenda much as nal letters of provide ations, additio ee (if available) of the nomin publicity, public (e.g. vitae ation: lum ation nomin 3. Curricu rts nomin support the n that suppo ___________ person who could documentatio er of another 4. Additional _______________ phone numb _______________ e a name and ___ Phone: _____ 5. Please includ _____ _____ _______________ Name: _____
for nominations is November 22, 2008.
______ _______________ ____ _______________ _______________ _______________ _ BY _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ ____________ _______________ Name: _____ _______________ _______________ _______________ _______________ _______________ _______________ ______________ _____ _____ _____ Address: _____ _____ _____ _____ _____ _______________ _______________ ________ _______________ _______________ Fax: __________ _______________ _____ ___ _____ _____ _____ _____ _____ Telephone: _____ _______________ _______________ _______________ _______________ E-mail: _____ _______________ _______________ Signature: _____
Caseload Size: Part II
Action in Trenton
October / November, 2008, NJSHA VOICES is the official newsletter of the New Jersey SpeechLanguage Hearing Association. The Editorial Board encourages the submission of letters to the editors, feature stories and news reports. Editorial deadlines are January 31, April 25, June 21, September 6, and November 19. The views expressed in VOICES are the opinions of the members or contributors and do not necessarily reflect the opinions of NJSHA. Nothing contained in this newsletter should be construed as legal advice or as the formal position of NJSHA. The information contained is informational only and may change without notice at any time. Please consult with an attorney for issues of legal significance. Editorial Board: Gerard L. Caracciolo, Chair, Robin Kanis, Nancy Patterson, Sherry Zailer Managing Editor: Wendy E. Webber Editorial and advertising materials should be sent to: Wendy E. Webber Managing Editor, VOICES 1996 Glendower Drive Lancaster, PA 17601 Phone/Fax: 215/893-3659 E-mail: firstname.lastname@example.org Letters to the Editor are welcome Membership & address corrections should be forwarded to: NJSHA Headquarters 203 Towne Centre Drive Hillsborough, NJ 08844-4693 Phone: 908/359-5308, x204 Fax: 908/450-1119 E-mail: email@example.com Web site: www.njsha.org Annual subscription rate: $28.00 (five issues) This newsletter is produced by Professional Management Associates, L.L.C., a full-service association management company. The publication of any advertisement in VOICES or in any of its publications is neither an endorsement of the advertisers nor of the services advertised. Speech-language pathologists or audiologists listed in NJSHA’s publications shall not be considered an endorsement or recommendation by NJSHA. 2
PRESIDENT’S MESSAGE BY ROBIN KANIS The work of volunteers impacts on all our lives, even if we are not aware of it.” — Anthony Worrall-Thompson NJSHA volunteers have been working to make 2008-2009 one of our best years to date. In this issue of VOICES, and in the next, I will try to share with you some of our accomplishments and a few snippets of things to come. First, if you have not done so already, take a look at the new NJSHA WEBSITE, njsha.org. It is not only attractive, but also more user-friendly to both the public and our members. Do not forget to log on to the “Members Only” link by using your primary email address and your NJSHA password (the four digit number above your mailing address on VOICES). In addition to our member database, you can now access: healthcare, school affairs, and legislative updates; VOICES archives; the Annual Business Report; the Strategic Plan; and the NJ Department of Education Index & Compilation of Code Clarification Letters developed by the NJSHA School Affairs Committee. Also, you can download our three colorful brochures about how speech-language specialists and audiologists help children succeed in school. A big thank you goes out to Monique Kaye, Website Committee Chair, as well as the PMA staff, who made this possible! Our HEALTHCARE AND EARLY INTERVENTION COMMITTEE, chaired by Barbara SchwerinBohus and Kathy Palatucci, has set several objectives for this year including advocacy in the areas of insurance reimbursement, affordable early
intervention services, and personnel shortages. The Committee intends to apply for an ASHA grant to help finance its advocacy efforts, and they will continue to collect data to help quantify personnel needs and describe current clinical practices in healthcare facilities. Barbara, along with Bob Woods, also advocates for NJSHA’s members’ healthcare concerns on the national level in her position as one of our ASHA State Advocates for Reimbursement (STARs). Our AAC COMMITTEE has been busy as well. You may have already seen their article in the last VOICES, “Tips on Aided-Language Stimulation.” A new article begins on page 4 of this issue. In addition, goals and objectives for an AAC Webpage on the NJSHA website were formalized and submitted to our Website Chair. The Committee innovated and held its first Clinical Forum in July, and plans already are underway for a fall forum. Please contact our AAC Committee Chair, Jackie Hughes, if this is an area of interest for you. Under the guidance of its Chair, Sue Goldman, the SCHOOL AFFAIRS STEERING COMMITTEE developed a brochure about recruitment and retention of speechlanguage specialists in the schools. In July, the brochure was printed and sent to its target audience, directors of special education throughout New Jersey. This form of advocacy occurred at the same time testimony was being prepared to present before the NJ State Board of Education.
The major focus of this testimony was NJSHA’s concern about districts that employ emergency certified personnel in speech-language specialist positions when duly certified candidates are available. NJSHA challenged this procedure and submitted information based on written clarification we received from the Office of Special Education Programs (OSEP) in Washington. Briefly stated, according to OSEP, this practice stands in violation of regulations set forth in I.D.E.A. We also have been advocating on schoolbased issues at the national level through our ASHA State Education Advocacy Leader (SEAL), Carol Amato. I would like to thank all of our members who took the time to write to the State Board of Education in support of NJSHA’s position on emergency certification issue. Grassroots advocacy has always been most effective in large numbers. There is much more to tell you, but it seems that I have run out of space. However I do want to end with this thought: I once served in a volunteer organization to which someone said, “If ‘volunteering’ and ‘working for nothing’ are synonymous in this organization…I’m done!” This is not the case with NJSHA. Our volunteers can be secure in the knowledge that their work does make a difference; they provide service to our professions …even if some of our members are not aware of how much they do. Thank you to those of you who, through volunteering, remind us that, “We are all NJSHA!” You continue to keep us strong!
October / November 2008, NJSHA
SCHOOLS SCHOOLS IN SESSION
Caseload Size: Part 2 BY NJSHA SCHOOL AFFAIRS STEERING COMMITTEE Since this article is being formulated in September, I like to say welcome back to the new school year. By the time you read it, I’m sure you will be changing your schedule for at least the fifth time! Below is the second part of the article completing the description of how to achieve a reasonable caseload size. — Sue A. Goldman, MA, CCC-SLP
For additional evidence, SLSs who have caseload issues should begin to log all they do when they are not providing therapy. Assuming that lunch and prep are used for eating and preparing therapy plans, they should log what is done during evaluation/case management time (e.g. meetings, observations, tests, interviews, phone calls relative to IEP meetings, writing of reports). Any “extra” time spent after school and on weekends should be included. Then decide with the association what an appropriate amount of “extra” time to devote on these tasks would be. SLSs cannot be expected to stay until evening hours every day and work at home on evenings and weekends to get their work completed. A good way to approach this is to explain that the SLS should do what teachers do on their own time (i.e. plan/prepare for their caseload, score tests and even some IEP writing if permitted by district policy). However, time must be provided for the added requirements of the job — those for which child study team (CST) members already have time because of the nature of their jobs. Be careful to never inadvertently pit yourself against teachers or CST members. Be clear that the
issues being raised in no way imply that all personnel in a school (especially teachers) do not do a lot of work or do not work hard. Explain that in order to clarify how an unreasonable caseload size can cause denial of FAPE to students with disabilities, administrators and union representatives must understand the nature of the SLS’s job and its differences as well as similarities to the jobs of a teacher and CST member. Next, do some research. Most districts have had increases in their special education population for several reasons — (e.g. out of district students being brought back to district, better tools/methods to identify disorders, increased general population, higher numbers of children with autism spectrum disorders). Find out how many additional special education classes have been added in the district to satisfy this growth and hence, the number of teachers hired in the district to handle this increase in population over the past 10 to 15 years or since the last increase in SLSs. Point out to the supervisor that SLSs also have added most of these students to their caseloads and thus, need additional staff just as teachers needed additional staff to deliver FAPE. Present a comparison of personnel
increases relative to services required for these additional students. For example, if a district has added 10 or more special education classes in the last 5 years — including some for children with autism and classes for preschool children with disabilities — how can the SLSs in the district possibly be expected to handle the increase when no or only 1 or 2 SLSs (or whatever the number) have been hired? A great, current resource is ASHA’s most current document on caseload, A Workload Analysis Approach for Establishing Speech-Language Caseload Standards in the Schools, which changes the perspective to a workload approach. It explains how to document all the tasks required to be completed and how to derive a schedule of the time needed to do so. The document can be ordered through ASHA (301/296-5700), and a free calculator that goes along with the document can be found online at http:// www.speechandlanguage.com/ caseload/caseload_calc2.asp. By using this document to calculate all that must be done to provide FAPE to students, SLSs can make a good argument for the need to hire more
personnel. Finally, use NJSHA’s online document of letters, New Jersey Department of Education Code Clarification Letters and Complaint Investigation Reports Impacting SpeechLanguage Services in the Schools. Access to this document of letters of clarification on a broad range of topics is free to NJSHA members. For example, look up key words such as “group size” in the document’s detailed index and find the letter concerning what types of schedules might be out of compliance. You will find such information as “Districts stand in violation of the requirements of federal and state law and regulation when they provide speech-language services based on availability of staff and time rather than the individual needs of pupils. They are also noncompliant when they have uniform group sizes and time allotments for all pupils receiving services.” So, if a schedule reflects all groups of five students for 30 minutes and the reason students have been scheduled as such is due to restrictions in the SLS’s time, there is concrete evidence of needing more time to function
continued on page 4 3
October / November, 2008, NJSHA
Schools continued from page 3
AAC TIPS in order to be in compliance. Show administrators and union representatives these letters to support any claims. If an SLS is in a situation that is noncompliant, it is probably time to inform the direct supervisor and the education association (union). If an SLS feels trapped into contributing to the breech of FAPE for students, there is a reason for support from the education association because all parties in a school district are obligated by law to follow the state’s regulations (in this case N.J.A.C. 6A:14).
reason we do not believe in surveys to generate average testing/case management time. It would be more appropriate to fill in the chart found in ASHA’s Workload document to determine time needed within each individual SLS’s schedule. If an SLS is consistently canceling students to test, case management time is not adequate. If these cancellations are causing students not to receive services on a regular basis, those students’ rights to FAPE may be threatened.
Average times for therapy sessions in New Jersey and average caseload size in New Jersey are unknown to us. We feel that it is inappropriate to base any district’s duration of sessions on other district’s. Those decisions must be made by the IEP team based on the needs of each individual student. Average caseload size could be negatively affected by districts that have a shortage of SLSs or if a district has not hired an adequate number of SLSs to provide services. Some districts use a 6 day cycle instead of 5 day cycle, which could also affect caseload size. For this same
Nothing contained in this article should be construed as legal advice or as the formal position of NJSHA. The information contained in this correspondence is informational only and may change without notice at any time. Please consult with an attorney for issues of legal significance. — NJSHA School Affairs Committees
Good luck this year with all your endeavors to deliver appropriate services to your students while devoting a reasonable amount of time to your jobs.
Attention Holders of Speech Correctionist Certificates who have Master’s degrees in Speech-language Pathology — You have until 2010 to apply for and be granted the SLS certificate without submitting NTE/Praxis scores. If you have not yet done so, apply now!
Vocabulary Tips for Preliterate Individuals Who Use AAC Systems BY AMY DOUGHERTY, COMMITTEE MEMBER Preliterate individuals who use AAC Systems are often children, but there may be some adults who are continuing to develop their literacy skills. Many voice output systems provide comprehensive pre-programmed vocabulary sets which can be chosen according to the individual’s language skills and abilities. For individuals falling into a preliterate category, although their vocabulary skills may be limited at the present time, availability of “developmental vocabulary” according to Lahey and Bloom (1977) should be present on an individual’s AAC system in order to teach and promote use of these words. In addition to noun-based vocabulary (e.g. people, places, things), the following is suggested to be available within a vocabulary set: Relational words (e.g. big, little), verbs (e.g. want, eat, drink, go, get, make), emotions, acceptance/rejection words (e.g. not, more, stop, all done), adjectives (e.g. good, bad, hot, dirty, cold, clean), colors and prepositions. “Augmented Input” is the technique of modeling or pointing to vocabulary on the AAC system as you are talking to the individual. During specific activities, such as making a craft, a communication partner can point to vocabulary on the AAC system to describe the steps as well as the finished product using appropriate syntax structures. Messages may still be telegraphic depending on the user’s current level of vocabulary and syntax development. However, it is suggested to provide AAC users the opportunity to learn vocabulary through exposure, similar to children who are learning to speak new vocabulary through an adult’s repeated models and verbalization of new words. Incorporating traditional language intervention techniques when working with AAC users will support expressive language development and allow an individual the chance to develop to his/her maximum potential.
Resource: Beukleman, D.R., & Mirenda, P. (1998). Augmentative and Alternative Communication: Management of Severe Communication Disorders in Children and Adults (2nd Ed.). Baltimore: Paul H. Brookes.
Send your questions about AAC to Jackie Hughes, AAC Committee Chair, firstname.lastname@example.org, Triangle School, 156 South Triangle Rd. Hillsborough, NJ 08844, and you may find the answers in the next “AAC Tips!”
October / November 2008, NJSHA
Gateways to Communication BY NATALIE GLASS, CONVENTION CHAIR & KATHLEEN HOLTERMAN, CONVENTION CO-CHAIR Believe it or not NJSHA’s Convention Committee (pictured right) is already in full force planning our next annual event, which is expected to be full of new, innovative ideas and great surprises. We have many fabulous speakers lined up who are eager to share their expertise with you. Our selection of highly valuable presentations is quite vast, so don’t be surprised if you find it challenging making a decision on what to attend. This year you will find many of the topics you’ve suggested. We have worked hard to supply a greater array of school and medically-based topics to ensure you a fantastic experience. We would like to personally thank our convention committee including Karen Kimberlin, Dana Murphy, Kelly Pezzanite, Joyce Quinn, Mona Schwartz, Joan Warner, and Constance Weiler for dedicating themselves to helping us design an incredible schedule. You can look forward to these pediatric presentations: Michelle Garcia-Winner will be speaking on social language development, Laura Justice will increase your knowledge about preschool literacy as well as evidencebased practice, and Judy Montgomery will blow you away with her presentation on vocabulary development. Dean Mooney will also be speaking on Nonverbal
and vocal cord dysfunction. If you are on the hunt for tricks to use with aphasic patients, Bill Connors is presenting on the Aphasia Tool Box.
Learning Disability. There is a variety of other topics available on literacy development. If you are looking for strategies for your apraxic clients, Christina Neumann will give you great ideas or if you want feeding strategies for children in the NICU and beyond, Cathrine Shaker will share those tools. We are even having Etoile LeBlanc who will discuss craniofacial disorders from soup to nuts! Pamela Payne will also present you with the “in’s” and “out’s” of syntax and narratives, and Alice Anne Farley will give you a step-bystep approach to reducing stuttering. Don’t forget to check out Deb Bassett’s presentation on AAC or Brian Goldstein’s lecture on phonological development in bilingual children. If early intervention or ethical issues in speech-language pathology and audiology are areas of interest, you will find it here.
Additionally, we are proud to have ASHA representatives join us to discuss medicare and the role of SLP’s in private practice as well as the ASHA Performance Review document. Our mission is to provide you lots of adult topic choices too with many presentations specifically on dysphagia. Nancy Swigert, James Coyle and James Naas will be presenting on various aspects of assessment and treatment as well as dysphagia related issues. Julia Robinson, Patricia Stuart-Shanes and Robyn Bognar will be presenting on swallowing outcomes with Neurogenic Dysphagic patients and will include Vital Stim. In addition, we are also offering a training for FEES. Shawn DeSanto will discuss the SLP’s role in palliative care, and Mike Trudeau will be your expert on alaryngeal speech
We received excellent feedback on our 2008 keynote presentation. The convention committee plans to provide another general session Thursday night April 30th 2009, by the well-known co-presenters, John Liechty and Ruth Resch. They will navigate the pathways to communication in individuals with Aphasia. Our committee is very excited to provide this forum for all speech-language pathologists and audiologists to share in an amazing learning opportunity. In addition, please join us Friday morning from 8:00 am 9:00 am to enjoy product demonstrations and earn CEU credits. Also don’t forget to relax and recharge in the exhibit hall during our chocolate and themed breaks. We anticipate a large turnout of exhibitors this year to meet your needs. Please save the dates and plan ahead! Convention will take place on April 30th-May 2nd 2009 and will be held once again at the Atlantic City Convention Center. Watch for further updates on this spectacular event in subsequent issues of VOICES. We can’t wait to see everyone in Atlantic City!
October / November, 2008, NJSHA
HEALTHCARE HORIZON PRESENTS CONVERSION PLAN TO THE STATE BY LYNN NOWAK On August 15, 2008 Horizon Blue Cross Blue Shield of New Jersey announced that it filed an application to convert from a non-profit health services corporation to a for-profit corporation. The application was filed with the State Department of Banking and Insurance as well as with the State Attorney General. The review process will require public deliberations and a review of the plan of conversion also submitted by Horizon. This process is set forth by a New Jersey law enacted in 2001, and this is the first time Horizon has filed an application. The centerpiece of the conversion proposal is the creation of an independent charitable foundation which will receive 100% of the value of Horizon Blue Cross Blue Shield of New Jersey upon conversion, which could be more than one billion dollars. This independent foundation is required by law to use this money “solely for the purposes of expanding access to quality, affordable health care.” Of course, the proper method of determining the value of Horizon will be a central issue during this process. Other proofs that Horizon will be required to demonstrate
include the protection of all contractual rights, the effective transition of all subscriber policies, the promotion of the best interests of the health services corporation as well as those of the public interest. All documents associated with the conversion application are to be made public no less than 30 days prior to the first hearing on the matter. For more information, Horizon has established the following website: www.horizonblue.com/ conversion. The NJ Medical Society has convened a group of interested health care providers to jointly monitor and provide input on this proposal as it moves forward through the process. Nancy Becker Associates is participating in this group and will keep NJSHA members informed of issues, positions and activities.
JUST SOME TIPS FOR HOSPITAL EXTERNS BY KATHLEEN PALATUCCI The hospital externship can be a challenging and rewarding experience. As well as developing “hands on” medical experience, the externship provides opportunities to develop professional qualities. The following are several “tips” we hope will be helpful to our graduate student externs. 1) Good communication is essential. Initiate and maintain open, honest communication with your supervisor. If you
have a question or doubt, first take the initiative to find the answer, however, never hesitate to seek out a professional opinion. 2) Take the initiative early in your placement to familiarize yourself with available resources and supplies. Schedule some time to look through cabinets, drawers and supplies. Get familiar with assessment tools and protocols. 3) Learn how to effectively plan and use your time. Take the opportunity to ask experienced staff about their time management techniques. 4) Procedures for routine, daily treatment and knowledge of departmental operations should be established quickly. If there is any confusion beyond the first week, let your supervisor know there are gaps in your understanding. 5) Develop your own “quick reference notes” and keep them handy in your lab coat pocket and binder. 6) Begin to develop a multidisciplinary “mindset”. Observe other clinicians so you may benefit from experienced professionals. This may include interaction with OTs, PTs, respiratory therapists, nurses, etc. 7) Ask questions at appropriate times. Take every opportunity to learn, not just what is assigned. Much of the learning occurs during those “unscheduled” moments.
MEDICARE BILLING FOR SLPS IN PRIVATE PRACTICE BY BARBARA SCHWERIN BOHUS Starting July 1, 2009 SLPs will be able to bill Medicare directly for speech-language services without an agency or employer. ASHA provided a Web/Telephone Seminar on September 23, 2008 for SLPs who are in private practice or are considering it. SLPs who are interested and did not get to hear the conference should inquire about how to access a replay of the seminar. The course provided a better understanding of the new Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 and how it impacts speech pathology. It gave SLPs the understanding of how to do direct billing, how regulations will be developed, and how to locate further information on billing, coding, and other private practice issues. Call 888/498-6699 or visit www.asha.org/shop.
October / November 2008, NJSHA
Action in Trenton
Public Relations: NJSHA & YOU IN THE NEWS!
BY LYNN NOWAK, NJSHA LOBBYIST Following passage of the FY 2009 Budget in June, the Legislature adjourned for the summer. The Assembly planned a September 15 return, while the Senate is slated to reconvene on October 2. As there are no state-level elections in New Jersey this year (Virginia and NJ are the only two states that hold “off-year” state elections in years opposite from Federal contests), the schedule for the coming months is relatively full. However, there is a window of open time around the November 4th election. Ongoing State budget woes continue to loom, casting a continued pall over efforts by either the Governor or the Legislature to take on any proactive policy initiatives. With three public hearings scheduled, it appears that the Governor intends to present a reformed toll-hike proposal to the State as a way to raise revenue. Among the bills we will be lobbying and monitoring for NJSHA in the coming months are:
GRACE’S LAW Discussed in several previous newsletter columns, Grace’s Law requires health insurers , the State Health Benefits Plan and NJ Family Care to provide
coverage of hearing aids for covered persons 15 and younger. A1571, now sponsored by Speaker Roberts (DCamden) is now the prime sponsor, joined by over 30 cosponsors. The bill did finally clear the Assembly Appropriations Committee in late May and we are hopeful that the full Assembly will consider it in the fall. On the Senate side, S467, sponsored by Senator Buono (D-Middlesex) also made it through review by the Budget and Appropriations Committee before the summer adjournment, with its next step being consideration by the full Senate. Again, we are hopeful to see the full Senate act on this bill.
HEARING LOSS SENSITIVITY TRAINING We recently met Assemblyman Diegnan, (D-Middlesex), the sponsor of A2396. The bill requires hearing loss sensitivity training for both pupils and teaching staff members. The Assemblyman instructed his staff to send a letter to all members of the Assembly asking them to join on as cosponsors. This step builds interest and momentum for the bill. We still need to work out some details on the bill and address the issue that the NJEA does not, as a matter of
policy, support mandates in the area of professional development. They will support the student education piece.
UNIVERSAL HEALTH CARE S1557 was signed into law on July 8, 2009. Sponsored by Senator Joseph Vitale, this bill is considered phase 1 of a twophase effort to ensure that all New Jerseyans are covered by health insurance. S1557 establishes “Kids First” which mandates health care coverage for all children and also expands Family Care to include families whose total income equals 200% of the federal poverty level. (FPL). For example, a family of four with an income of $42,400 would be eligible as that equals 200% of the FPL.
PHYSICIAN REFERRALS Legislation that permits a person covered by a managed care plan to receive covered services from an in-network provider without primary care physician referrals was considered and released by the Assembly Health and Senior Services Committee on September 15. Sponsored by the committee’s chair, Assemblyman Herb Conaway, the bill’s next step is consideration by the full Assembly.
Are you working on a compelling case that would make an interesting feature article? Or are you using an innovative therapy that would make an interesting TV news segment? If so, the NJSHA PR Committee would like to speak with you about publicizing your activities — this is another benefit of NJSHA membership. Plus, by helping you, we can help raise public awareness and understanding for what we do as speech, language and hearing professionals. Please contact the NJSHA PR Committee regarding interesting case studies, novel approaches, emerging issues, etc. All news is local, so we are looking for stories in all NJ counties. Naturally, the families, organizations and other principals of these cases need to be willing to talk about their experiences. The PR Committee will be able to guide you and them through this process.
SPEAKER’S BUREAU The PR Committee is also hoping to resurrect the NJSHA Speaker’s Bureau. If you are interested in speaking at public events, participating in webinars or pod casts, please let us know. For more information, please contact Ellie Murray, PR Chair, email@example.com or our PR Consultant, Patty Murray at Patty@MurrayPublic Relations.com.
October / November, 2008, NJSHA
of the New Jersey Speech-Language Hearing Association
Reach 1900 Speech, Language & Hearing Professionals WHAT IS VOICES?
NJSHA Advertising & Editorial Standards and Policies
VOICES is the official newsletter of the New Jersey SpeechLanguage Hearing Association. It is also the most effective way to reach speech-language pathologists and audiologists in New Jersey. Published five times a year, VOICES covers the latest in school requirements, health care issues, continuing education, committee activities, association programs and professional events. Members read this publication cover to cover and refer to it time and time again. Isn’t this where you want your message to appear?
• 105 Teachers of the Communication Handicapped • 29 Teachers of the Hearing Impaired • 66 in affiliated fields Professional Settings of VOICES readers are varied: • 1103 work in Public or Private Schools • 203 members work in a clinical setting (hospitals or agencies) • 536 have Private Practices • 49 work at Colleges and Universities • 159 work in various other occupational settings
• You’ll reach professionals time after time; members refer to VOICES for information on association activities, meetings, school and health care issues, and resource listings. • Advertising in VOICES is also cost-effective with display advertising rates starting as low as $60.00 per issue (member rates with multiple insertiions). • As a part of your marketing plan, advertising in VOICES can help increase both your sales and exposure in the New Jersey market.
WHO SHOULD ADVERTISE? Companies who sponsor educational programs, provide publications, videos, consumer educational materials, AAC devices and games, assessment and evaluation equipment, computer software, rehab products, intervention materials, audiometer accessories, testing headphones, signaling devices, or any other product or service aimed at speech-language pathologists and audiologists should not miss this targeted and unique opportunity.
ABOUT OUR READERS
The following standards and policies were approved by the NJSHA Board of Directors on September 10, 2008. Many are based in part on the ASHA Standards and Policies for Publication. To advertise in NJSHA, log on to njsha.org and download our complete advertising brochure or contact Wendy Webber at firstname.lastname@example.org. Thank you to all NJSHA members for their contributions and support of VOICES. 1. NJSHA endorses equal opportunity practices and accepts advertisements that are not discriminatory on the basis of race, color, gender, religion, age, national origin, sexual orientation or physical handicap. 2. Acceptability of an advertisement or a professional directory listing for publication will be based upon legal, social, professional and ethical considerations. Advertisements must be in keeping with the professional policies of the New Jersey Speech-LanguageHearing Association (NJSHA). 3. NJSHA reserves the right to refuse, reject or cancel any advertisement for any reason at any time without liability, even though previously acknowledged or accepted. 4. Acceptance of an advertisement does not imply NJSHA endorsement or guarantee of the product or service advertised. A listing by a licensed audiologist or speech-language pathologist in the Professional Directory shall not be considered an endorsement or recommendation by NJSHA.
5. NJSHA is not responsible for any claims made in an advertisement. Advertisers and their agents assume full responsibility for the content of advertisements and any claims made against NJSHA and their agents arising from such advertisements. Advertisers agree to indemnify, defend and hold harmless NJSHA and their agents from all liability for such advertisements. 6. Advertisements will be reviewed for efficacy claims and use of first-person language. 7. Statements about, and illustrations of, all products and services must be in accordance with professional standards. They must not be deceptive or misleading by either statement or omission, must not disparage a competitor’s product or service, and must not make unsupported claims. 8. Advertisers making efficacy or effectiveness claims may be asked to provide relevant data and may be required to include in their advertisement, references to the article(s) or Web site(s) where the relevant data can be publicly accessed.
VOICES reaches over 1900 speech language pathologists and audiologists in New Jersey. Each reader has demonstrated their desire to excel within their field and continue their education by joining the association. The organization is comprised of:
WHY ADVERTISE IN VOICES? • A single ad will reach over 1900 speech-language pathologists and audiologists in the state. • You’ll reach professionals who are leaders in their field, decision-makers with purchasing responsibilities.
• 1615 Speech-Language Pathologists • 89 Audiologists
9. Products must be in accordance with all applicable federal and state laws and they must be applicable FDA regulations and FTC requirements. Adherence to legal and regulatory requirements concerning the content of advertising is the manufacturer’s responsibility. 10. Announcement of NJSHA Member News is open to all members in good standing. Submissions may include presentations, awards, honors, professional appointments, new positions and retirements. 11. All product, service and classified advertisements (employment announcements, practice and/or equipment sales etc.) and announcements of non-NJSHA educational and other programs are required to pay the appropriate fees for advertisements. 12. There is no fee for announcing in the Calendar of Events, the main details of programs of County Professional Group Meetings, Higher Education Meetings, NJSHA Committee Meetings and other NJSHA Educational Programs.
13. Any professional or educational group (including exempt groups) submitting an article as an announcement will be referred to the standard paid advertising policy. 14. Fee exemptions will be considered when the information is judged to be important to NJSHA members. In those cases the allotment of space will only allow for publishing the main details of the event. 15. Announcements of educational programs that conflict with those offered by NJSHA will not be accepted for publication when offerings occur 30 days before or after the NJSHA Annual Convention or one of its continuing education programs. 16. Announcements in paid advertisements or news items, of publications or products authored by members, will only be published if the articles, texts, manuals or products have undergone a rigorous review by a recognized professional body, publisher or product company and are scheduled for publication. 17. All announcements will be considered for publication on a space-available basis.
October / November 2008, NJSHA
NJSHA CALENDAR OF EVENTS
2008 NJSHA Schools Conference: Current Best Strategies to Help Speech-Language Pathologists Meet Student Needs Debbie Hisam, M.Ed. 8:30 am - 3:30 pm Crowne Plaza Hotel, Jamesburg, NJ, 0.5 CEUs
Myofunctional Therapy and Remediation of /r/ and /s/ 7:00 - 9:00 pm Contact: http:// www.geocities.com/cnjspeechandhearing/index.html
Central Jersey SpeechLanguage Hearing Assn.
20 Overview of Cleft Lip, Palate, and Craniofacial Anomalies—Working with Local Teams Marilyn Cohen, Cooper Hospital Craniofacial Team 6:30 - 8:00 pm: Program; 8:00 8:30 pm: School Affairs/Bus. Mt. Laurel Library, Mt. Laurel, NJ Contact: Ruth Blackman email@example.com Tricounty Speech-Language Hearing Association
Current Treatment in Voice Therapy, Terri Rosenberg, MA, CCC-SLP 5:00 - 8:30 pm, BYO Dinner Summit Speech School, New Providence, NJ Contact: Joan, 732/574-9872
Union County SpeechLanguage Hearing Assn.
TBD Central Auditory Processing Disorder Dr. Alan Gertner Saddle Brook Marriott Contact: www.njsha.org, click on “County Meetings.” Bergen County SpeechLanguage Hearing Assn.
14 Second Language Literacy and Learning 7:00 - 9:00 pm Contact: http:// www.geocities.com/cnjspeechandhearing/index.html Central Jersey SpeechLanguage Hearing Assn.
MARCH 11 Socialization Program: Pragmatics Outside the Speech Therapy Room 7:00 - 9:00 pm Contact: http:// www.geocities.com/cnjspeechandhearing/index.html Central Jersey SpeechLanguage Hearing Assn.
23 Topic TBD 6:30 - 8:30 pm: Mt. Laurel Library, Mt. Laurel, NJ Contact: Ruth Blackman firstname.lastname@example.org
Tricounty Speech-Language Hearing Association
NEW CALENDAR FORMAT!: We hope you enjoy our new NJSHA calendar! Conferences presented by the association, County associations, NJSHA committees and those of special interest will be included. Additional information on the event can be accessed through the website of the sponsoring organization, or by e-mailing the contact listed. We hope you will take advantage of all that New Jersey and NJSHA has to offer the Speech Language Hearing professional.
Member News THERESA BARTOLOTTA, PhD, NJSHA Treasurer and Board Member, has been elected to the Steering Committee of Special Interest Division 10, Issues in Higher Education, of the American Speech-Language-Hearing Association. WE WANT TO HEAR FROM YOU! Send your newsmaking item by November 19th to VOICES c/o Wendy Webber, Managing Editor, 1996 Glendower Drive, Lancaster, PA 17601; or e-mail email@example.com.
Professional Directory Position your practice among the best in New Jersey. For only $48.00 members/$53.00 nonmembers, your ad will appear in NJSHA’s Professional Directory for a full year — all five issues. The same ad will be used in each issue. This chance only comes once a year. Log on to www.njsha.org for your reservation form or e-mail Wendy Webber at firstname.lastname@example.org for more information. Don't delay, the deadline for the 2009 issues is December 15th!
October / November, 2008, NJSHA
STUDENTS New Representative Remarks BY JOANNE CHRISTODOULOU
PROFESSIONAL DIRECTORY Speaking of Aphasia, LLC
Sound Advice • Gail Wuhl, M.Ed, CCC-SLP
Shirley Morganstein & Marilyn Certner Smith
Speech-Language Evaluations & Therapy, Children & Adults; Foreign Accent Modification: Compton P-ESL; Oral Presentation Skills/Voice Improvement
“Providing a Life Participation Approach”
Hello, my name is Joanne Christodoulou and I was chosen to be on the board of the New Jersey Speech-Language Hearing Association for the 2008-2009 fiscal year. My position allows me the privilege of representing all the speech-language pathology and audiology students throughout the state. I am presently a second year speech-language pathology graduate student at Kean University. I came to their program after working in business for many years and while it paid the bills I couldn’t help feeling that there must be something more rewarding and satisfying out there. Through my daughter’s issues with delayed language I was introduced to the field of speechlanguage pathology. Academic exposure to this discipline and working with professionals through the university and in the field has shown me the importance, and the excitement of helping someone to communicate effectively. I am proud to be associated with so many caring individuals and anxious to begin my new career after graduation in May, 2009. The New Jersey Speech-Language Hearing Association is a vibrant organization that links individuals with their many and varied talents together. Through membership we gain a legislative voice, have access to continuing education, exchange information with other professionals, explore job opportunities and participate in an annual convention where specialists and educators share their expertise and experiences to increase our knowledge. This appointment to the board is an exciting opportunity for me; it will allow me to work with each university in New Jersey to increase the presence of the New Jersey Speech-Language Hearing Association on campuses throughout the state. I encourage each student to join the association. Become a part of this organization of professionals, access the information offered on the website, contribute to the success of the convention by attending and most important, get to know the individuals who have made an impact on the communication of so many people as you will also do in the near future. Each of you has a valuable contribution to make, become involved by joining the New Jersey Speech-Language Hearing Association.
Montclair, NJ (973) 746-1151 www.speakingofaphasia.com License #YS002023 & #YS000135
Glen Rock & Engelwood (201)321-3191 Lic #YS00565 email@example.com
Stuttering Institute of Princeton Kay M. Monkhouse, Ph.D., CCC/SLP Board Recognized Fluency Specialist
351 Main Street, Metuchen, NJ 08840 Heidi Sperling, MS, CCC-SP, 41YS00080300 Sharon Ratiner, MA, CCC-SP, 41YS00057000
Speech Easy® Provider 609-924-2809
732/321-1780 732/321-0164 fax www.sperlingratinerspeech.com
License #00355 firstname.lastname@example.org
The Davis Center
Debbie Friedman, MA, CCC-SLP
Testing & Sound-based Therapies for Learning -Development-Wellness AIT • TOMATIS • FF• IM • BioAcoustics 862/251-4637 www.thedaviscenter.com
Evaluations & Therapy Speech • Language • Myofunctional Specializing in Pediatrics Hillsborough, NJ 908/281-6330 Lic #YS00188
CAROL A. SMITH, MA, CCC-SLP
Share Communication, LLC
Adult C I Auditory Rehabilitation Speechreading 973-701-0253 Chatham, NJ Lic #YS00614
Lynn Shereshewsky, MA, SLP, President
World’s Sound Therapy Center YA00030
Providing Speech and Language Services 38 North Cottage Place, Westfield, NJ
CLASSIFIEDS Speech/Language Specialist needed for full-time position in Rumson School District Contact: Gayle Gunning, Director of Special Services Deane-Porter School Blackpoint Rd. Rumson, NJ 07760 732-842-0811 Advertisement
I would welcome the opportunity to get to know you and listen to your suggestions, questions, comments and concerns. I can be reached by phone through Kean University 908/737-5820, my cell 732/546-4073 or by email email@example.com or firstname.lastname@example.org.
October / November 2008, NJSHA
SUBURBAN SPEECH CENTER
MARILYN GREENBERG, MA, CCC-SLP
Private pediatric practice specializing in diagnostic and therapeutic services for children 15 Speech-Language Pathologists on Staff
9 Blue Devil Lane, Mercerville, NJ 08619
METROPOLITAN SPEECH & LANGUAGE CENTER
AUDITORY PROCESSING EVALUATIONS FOR CHILDREN AND ADULTS
Myofunctional Therapy Speech-Language Pathology
Lillian S. Dollinger, MA, CCC-SLP, Director 66 W. Mt. Pleasant Avenue Livingston, New Jersey 07039
Audiology Associates of Freehold
Short Hills, NJ
Nancy Polow, PhD, CCC-SLP
Lori L. Roth, MA, CCC-SLP Oral Motor Specialist PROMPT Trained Cedar Knolls, NJ
Lic. #YS 00197
Lic. #41YS 000835
VICKI L. SADEWITZ, MS, CCC
BONNIE SUSSER, MA, CCC
NATALIE B. LUBINSKY, MS, CCC
Center for Communication Advancement
26 Madison Ave. Morristown, NJ 07960
Speech-Language Pathologist ASHA Certified NJ Licensed 1169 Fairfield Rd., Bridgewater, NJ 08807 By Appointment Lic. #YS 00506
Speech - Language - Voice - Fluency - Children and Adults - Craniofacial Disorders Rt 46. Dover 973/366-6667 Lic. #YS00083
Stroboscopic Analysis Fast ForWord 973/292-2265 Lic. #YS 00104
Reila Zimmerman, MS, CCC-SLP
VOICE CENTER OF NJ
SPEECH THERAPY CENTER, LLC
Specializing in Speech, Language and Auditory Processing Disorders in Children
Terri G. Rosenberg, MA, CCC
Cheryl Kaplan, CCC-SLP
Voice-Speech-Language Children and Adults 181 Somerset St., New Brunswick, NJ
Speech, Language, Myofunctional and Oral Motor Therapy 60 Broadway, Ste. 22, Denville, NJ 07834
12 Taylor Street, Milburn, NJ 07041
Lic. #YS 00745
Kay M. Monkhouse, Ph.D., CCC/SLP 194 North Harrison Street, Princeton, NJ 08540
email@example.com Lic #00355 Speech, Language, Voice, Myofunctional Therapy, Foreign Accent Reduction Fluency Specialist 609-924-2809
George Marge, MS, CCC-SLP
77 Schanck Road, Freehold, NJ 732/462-1413 Robert M. DiSogra, AuD, FAAA, Lic. #17
Lic. #YS 00757
Lic. #YS 02032
RIDGEWOOD SPEECH and LANGUAGE CENTER Beth S. Kotek, MS, CCC , Director, #YS000317
Speech-Language-Oral MotorVoice-Fluency Children & Adults Midland Park, NJ 201-444-6305
Morris County Speech/Language Center
ASAP is a therapeutic intervention program
Adele Ben’Ary, MA, CCC
ROSE LEVINE, M.Ed, CCC-SLP
devoted to eval/tx preK-7 yr children diag. w/ASD, social-cognitive delays, behavioral and speech-language impairments.
The Center for Accent Reduction and Ben’Ary Associates
Licensed Speech/Language Pathologist
Lic. #41YS 00100900 4 Woodstone Road Morris Plains, NJ 07950
Lina Slim-Topdjian, CCC-SLP BCBA #YS02639 Basking Ridge, NJ 908.542.0002
Berkeley Heights, NJ 07922 FAX 908/771-0462 908/771-0460 Lic. #YS 00019
Speech and Language Services of Westfield, LLC
Barbara L. Kurman, AuD, FAAA
Good Talking People, LLC
Speech – Language Pathologist 500 Barnett Place Ho-ho-kus, NJ 07423
Eileen Eisner, M.Ed., CCC-SLP, Director
Vice President, 41YA00008900 Northeastern Technologies Group, Inc.
Arlene F. Rubin, MA, CCC-SLP, And Associates, Lic. #YS 00623
Serving the Hearing Healthcare Professional
773 Teaneck Rd, Teaneck, NJ 07666
325 North Ave. East, Westfield, NJ, Lic #YSO1946
201.837.8371 fax: 201.837.1668
Jeffrey Glass, MS, CCC
PRINCETON SPEECHLANGUAGE & LEARNING CENTER
Evaluation and Treatment of Communication Difficulties firstname.lastname@example.org
Lic #YS 03374
Problemas del Habla y Lenguaje Evaluacion e Intervencion ~ en Mas de 30 anos educacion multicultural
tel: 609/688-0200 Lic# 41YS00191000
Lic. #263 Northern NJ: 800 987 4565
Speech Language Learning Connection
Stephanie Shaeffer, MS, CCC-SLP; CERT. AVT
Karen T. Kimberlin, MS, CCC-SLP, YS00310
All Communication Therapies Intervention – Ongoing & Necessary
Certified Auditory-Verbal Therapist Speech Language Pathologist
Specializing in speech, language, cognitive and feeding needs in the home environment
speech • language • feeding • voice • reading writing • APD • PROMPT • study skills 709 Sycamore Ave., Tinton Falls, NJ 07701
233 Berkely Ave., Belle Mead, NJ
Speech Language Pathologist, Certified VitalStim Provider
Constance N. Wieler, MS, CCC-SLP Speech, Language & Literacy Consultants of Princeton Princeton Professional Park, Ste C-1 601 Ewing St., Princeton, NJ 08540
Eugenia Della Sala MA, CCC-SLP/L
Terri Rossman, MS-CCC, Executive Director Social Skills • PROMPT • Lindamood Bell Wilson Reading • Fast ForWord • Auditory Verbal Therapy 609-924-7080 • www.psllcnj.com • Lic #YS000872
Joyce Gerstein, CCC-SLP
• Speech and Language Evaluations • Voice, OralMotor, Fluency • Public Speaking, Accent Reduction • Hearing Impairment • Children & Adults
Lic #YS00313200 Tel: 973/746-4655 Cell: 201/280-6896
Chester, NJ Lic. #YS01994 SShaeffer@patmedia.net
Laural Thurston, MA-CCC, Lic #YS 1014 Basking Ridge 908/647-2055
K. GOLDING-KUSHNER, PhD, CCC-SLP
Communication Center of Wyckoff
Sharon K. Watt, MA, CCC-SLP
Exec. Dir., VCFS Educational Foundation 25+ yr artic, cleft palate, craniofacial disorders, nasality
Comprehensive Speech and Language Services 640 Wishing Well Road, Wyckoff, NJ 07481
Rosemarie A. Perretta, MA, CCC-SLP Easton, PA 610-438-8636
michelle.wycoffspeech.org email@example.com Flexible Hours (201) 891-3439 License #41YSOO377500
Specializing in Pediatrics
Speech-Language Pathology Services
Monmouth and Ocean Counties 732.620.1616 Lic#41YS00466300
NJ License YS 01352 East Brunswick, NJ
tel. 732-238-5494 firstname.lastname@example.org
Teaneck Speech & Language Center
Speech Partners, Inc.
10 West Tryon Ave., Teaneck, NJ 07666 Joanne Kornbluth, MS, Lic #YS 1299; Aviva Ramras, MS, Lic #YS 2342; Elyse Bergman, MA, Lic #YS 1850; Freda Attinson, MS, Lic #YS 2563
Nancy V. Schumann, MA, CCC-SLP, Cert. AVT Certified Auditory Verbal Therapist
Auditory Verbal Therapy • Aural Habilitation Communication Evals • Speech • Language Bound Brook, NJ
Lic #YS 3855
email@example.com NJ Lic.# 41YS00152000 PA Licensed
Cynthia James, MA, CCC-SLP Midland Park, NJ 07432 Pediatric Speech, Language and Oral-Motor Therapy
October / November, 2008, NJSHA
Monsignor John P. Hourihan 1923-2008 Monsignor John P. Hourihan devoted his priestly life to caring for people who were challenged, especially deaf people and homeless families in Newark. He was educated at Seton Hall University and the Seminary of the Immaculate Conception. He was chosen to study at Catholic University in Washington D.C. for a Licentiate in Moral Theology and while there he associated with students from Gallaudet, College for the Deaf. Father John, as he was affectionately known had a number of assignments in the Newark Diocese. At the Mount Carmel Guild, he was given pastoral responsibilities for people who were deaf and hearing impaired. At the Guild he established four catechetical centers for children in public schools programming for the deaf and hearing impaired. It was at this time that he attended Columbia University and received a Masters Degree in Education of the Deaf and qualified as an audiologist by the American Speech-Language-Hearing Association (ASHA). Father John made plans for the establishment of the Archdiocesan Diagnostic Center and four satellite centers for speech and hearing disorders. He returned to Columbia to receive his doctorate in Administration for his responsibilities over these programs. Father John served church, state and professional organizations in various capacities. He was a member of President Kennedy’s Advisory Committee on Teacher Training, represented New Jersey
203 Towne Centre Drive Hillsborough, NJ 08844
NJSHA Convention April 30-May 2, 2009 Atlantic City Convention Center
at White House Conferences and was an advisor to the N.J. Department of Education and the N.J. Rehabilitation Commission and to the Secretary of Health, Education and Welfare under President Johnson. He was appointed by President Carter as vice chairman of the National Conference on the Handicapped. He was elected president of the International Education of the Deaf and served as chairman for the International Foundation for the Deaf. In 1977 Archbishop Thomas Boland appointed Father John as pastor of St. John’s Church in the heart of Newark’s business district. There he began to direct his tireless efforts to help the poor in the City of Newark. His parish, with the help of thousands of volunteers fed over two million meals to the poor and homeless people of the area until his retirement in 1997. His dedication to this pastoral ministry was recognized by his appointment as pastor emeritus at St. John’s in 2007 by Archbishop John Meyers. Father John touched the lives of many in countless ways and he attributed his accomplishments and good done for others to those who assisted him and, most importantly to his family. The St. John’s Church Soup Kitchen continues the work that he started in support of the poor and homeless. He continues to be honored as a pioneer among the deaf community for his advocacy.
FIRST-CLASS PRSRT U.S. POSTAGE PAID PERMIT NO. 2066 EAU CLAIRE, WI 54701
Published on May 13, 2010
1 AWAR DS NOMI NATIO N FORM Name: __________ __________ __________ ________ Phone: __________ __________ __________ __________ _ 4. Addition...