Developing Literacy in Students With Autism Spectrum Disorders
Feb 13, 2009, 9:00 am – 4:00 pm
First Name :
Last Name :
School/Employer:
Work Phone:
City :
Home Phone:
County:
Email:
*Are You Out-of-Field?
YES/NO
*Out-of-Field refers to a teacher in a district school system assigned to teach outside the area in which he or she was certified
Job Role:
Please Select
Student (K-12)
Paraprofessional
Teacher
Related Services(OT/PT/SLP)
School Support Staff
Parent/Family Member
School Administrator
District Staff
State Personnel
Agency Personnel/Service Provider
Discretionary Project Personnel
University Faculty
University Student
Class Type:
Please Select
General Education
ESE - Not Autism
Autism
N/A
School Type:
Please Select
Private
Charter
Public
N/A
Primary Work:
Please Select
General Education
ESE
N/A
What is your current school grade?
(A,B,C,D or F)
Do you have an endorsement certificate in Autism ?
Y/N
Do you have an endorsement certificate in Severe and Profound disabilities ?
Y/N
If not, are you in the process of completing an endorsement certificate ?
Y/N
