Multisensory Structured Language Education Verification/Registration Form

To verify/register for a current or previously completed MSLE course(s), please complete the form below.

If you have questions, please contact Judie Burridge, Assistant Director of Admissions, at 570-208-5850 or email judieburridge@kings.edu. Thank you.

Date of Birth

Last Name

First Name

Student ID #
Student ID for existing King's students. If you don't know your Student ID, please contact Judie Burridge at judieburridge@kings.edu.

Address

Country

Street

City

Region

Postal Code

Email Address

Cell Phone

Do you receive tuition benefits?

Yes

Employer Name

Semester

Fall 2025

Fall 2025 Courses

25/FA EDUC 800 - MSLE Initial Course 1 & Practicum 1

25/FA EDUC 801 - MSLE Initial Course 2 & Practicum 2

25/FA EDUC 802 - MSLE Advanced Course 1 & Practicum 1

25/FA EDUC 803 - MSLE Advanced Course 2 & Practicum 2

All student registrants for courses EDUC 800, EDUC 801, EDUC 802 and EDUC 803 must verify that their course(s) meet King's requirement of being International Multisensory Structured Language Education Council (IMSLEC) accredited or being taught by an Academic Language Therapy Association (ALTA) approved Instructor.

Do you have multiple instructors?

Yes

Name of IMSLEC/ALTA QI or I-CALP Instructor

Name of IMSLEC/ALTA QI or I-CALP Training Program

Location of IMSLEC/ALTA QI or I-CALP Training Program

Course Start Date

Completed/Estimated End Date

Instructor Email

Instructor Phone Number

SECOND INSTRUCTOR