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Please indicate your role: * Teacher-in-trainingEA / SEA / CEA studentCommunity support (describe below)Parent / family
Provide some information about your role, program of study, etc:
Level of student(s) with whom you work (choose only ONE - if both apply, select the level with which you work the most): * Elementary / Middle SchoolSecondary
Do you currently work directly with a child / children with ASD? If ``yes``, please describe below: * YesNo
Describe your experience working with a child / children with ASD:
In 2 or 3 sentences, explain why you are interested in taking this course:
Which session of the Introduction to Autism Spectrum Disorders - Practical Applications course are you applying for?: * June 19-23, 2017 (8 remaining)
REMINDER: THIS IS AN APPLICATION ONLY. SUBMISSION OF THIS FORM DOES NOT CONSTITUTE REGISTRATION. YOU WILL BE CONTACTED BY POPARD TO PROCESS YOUR REGISTRATION AND PAYMENT IF YOUR APPLICATION IS APPROVED.
Terms of service for course registration:
Course Registration/Administration Fees are non-refundable.
Course attendees must attend the entire training session in order to receive a certificate of participation.
I agree to the terms of service for course registration: Yes
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