"Putting the Pieces Together" provided a distinctive opportunity for professionals to interact with their colleagues to learn more about effective practices and strategies for meeting the needs of deaf or hard of hearing students at the secondary and postsecondary levels. Conference participants engaged is sessions that focused on identifying and implementing research-based practices as well as the "nuts and bolts" of managing and delivering effective access services. One of the goals of the conference was to more firmly establish collaborative efforts among professionals who share a common goal: ensuring provision of the most effective educational programs for students who are deaf or hard of hearing. Instead of operating in isolation, we can create additional opportunities to share knowledge and experiences that will have a positive impact on our students as they transition from secondary education to postsecondary education and training programs. It is hoped that this information will truly support each reader to put together the pieces in providing effective services to students. This publication contains the following papers: (1) The Diversity Piece--Where Does It Fit in the Puzzle? (Sam Atcherson, Tina Abdul, Martha Davies, Teraca Florence, & Parvin Karobi); (2) Help! High School's Almost Over... What's Next? (Greta Palmberg, Elissa Becker, Melody Eubanks, Janis Friend, & Sally Prouty); (3) 25 Years Later: Board of Education v Rowley: A Look at the Past and Looking Towards the Future (Amy Rowley); (4) Putting the Pieces of Electronic and IT Accessibility Together: Building Partnerships to Meet the Challenge of 508 (Kaye Ellis); (5) More Bang for Your Buck (Cindy Camp, Amy Hebert, & Michelle Swaney); (6) Meaning-for-Meaning in Speech-to-Text Services: A Better Understanding (Pamela Francis, Cindy Camp, & Judy Colwell); (7) Using Tablet PCs to Integrate Graphics with Text to Support Students Who Are Deaf and Hard of Hearing (Pamela Francis, Michael Stinson, & Lisa Elliot); (8) Math-to-Text: Tips and Tools (Sharon Allen & Steve Colwell); (9) PPT: Facebook 101 (Jennifer Freer & Joan Naturale); (10) Teaching Your Colleagues and Community About Adults Who Are Deaf and Low Functioning (Greg Long, Theresa Johnson, Nancy Carr, & Amy Hebert); (11) College Students who are Hard of Hearing: A National Task Force Publication on Addressing Service Models of an Underserved Population (Debra Brenner, Douglas Watson, & Cheryl Davis); (12) Serving Hard-of-Hearing Students: Interpreting Documentation, Understanding Functional Impact, and Providing Appropriate Accommodations (Samuel R. Atcherson & Cheryl D. Davis); (13) From 0 to 99: Creating Services for Individuals with Hearing Loss Around a Core Program at the Community Level (Heidi Adams); (14) Community Rehabilitation Practitioner (CRP) Online Training (April Pierson); (15) Model State Plan for Vocational Rehabilitation Services to Persons who are Deaf, Deaf-Blind, Hard of Hearing, or Late Deafened (Douglas Watson, Tammy Adams, Terrye Fish, Rubin Latz, & Steve Boone); (16) PPT: Patchwork to Seamless: PEPNet Products for Professionals in Community Based Rehabilitation Programs (Heidi Adams); (17) Our Piece of the Puzzle: A Comprehensive Cooperative Program Helps Students Put it All Together (Leslie Garber); (18) Academic ASL: It Looks Like English, But It Isn't (Linda L. Ross & Marla C. Berkowitz); (19) Finding the Right Pieces with Service Agencies: Redefining the Relationship (Naomi Sheneman); (20) Interpreting and Speech-to-Text Services in English Courses for International Students (Kim Thiessen, Brian Buma, Pam Molina Toledo, & Mary Ann Higgins); (21) Shift Happens: Reframing Disability and Reconsidering Paradigms (Sharon Downs, Melanie Thornton, & Amy Hebert); (22) From Idea to Implementation--Universal Design in Action (Arlene C. Stewart & Tara Seyller); (23) Anticipating Diversity: Weaving Universal Design into your Campus Tapestry and Beyond (Sharon Downs & Melanie Thornton); (24) Creating a Mentoring Program for Speech-to-Text Services (Kim Thiessen & Brian Buma); (25) Continuing Education for Speech-to-Text Providers: A Fundamental Piece of the Puzzle (Jennie Bourgeois & Judy Colwell); (26) What Prisms Can Teach Us about Professionalism: Ethical Reflection and Refraction (Linda K. Stauffer & Amy Hebert); (27) Leadership: It's In You! (Melanie Thornton, Sharon Downs, & Amy Hebert); and (28) PEN-International's Summer Leadership Institute for Postsecondary Deaf and Hard of Hearing Students (Denise Kavin). Individual papers contain tables, figures, references and appendices.