Professional Development Request Form – Go Beyond Abilities Clinical Services

Professional Development Request Form – Go Beyond Abilities Clinical Services

Thank you for your interest in booking Dr. Amanda Randall for your professional development needs! Please complete the form below so we can tailor a high-impact experience for your team.
Two-Hour Customized Workshop: $750–$900

Half-Day Workshop (up to 3 hours): $900–$1,200

Full-Day Workshop (up to 6 hours): $1,500–$2,000

Additional Consulting or Development: $175/hour

Travel Expenses: Mileage, lodging, airfare, parking, and other necessary expenses covered by the host

Extended Travel Time: Consider a flat travel-day fee when substantial travel is required
Name

First NameLast Name
Organization
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Date (s)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Date (s)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Time (s)
Format

Other
Location if in-person
Type a question

Other
Topic Preference

Other
Specific Topic Request
Audience Type and Size
Tell us who will be in the audience (teachers, admins, BCBA's families, etc.) and how many people you expect.
What is your main goal for this session?
(e.g., build team skills, manage student behavior, improve IEP collaboration)
Is there anything else Amanda should know to prepare?
(e.g., previous trainings, known challenges, key initiatives)
Should be Empty: