BETA Workshops for Professionals and Community Groups

Host Information
Location Information
Presentation Information
Requested Time(s) for Training
Time Zone  


Attendee Information
Audience Roles  (select all that apply)
CEU Information
Will CEU's/Professional Development be offered to attendees?  Please note the hosting organization is responsible for obtaining relevant continuing education credits.


Will a certificate of attendance be needed for participants?  


Content Information
What age group describes your primary focus?  
Please list 3 specific skills you would like participants to gain from this presentation (please refer back to the topics you requested at the beginning of this form)
In order to individualize your professional development, would you be willing to provide a confidential description of specific learners with ASD that you provide services to?
In order to individualize your professional development, would you be willing to provide a confidential description of specific learners with ASD that you provide services to?  


Billing Information
Additional Information
In order to individualize your professional development, would you be willing to provide a confidential description of specific learners with ASD that you provide services to?
In order to individualize your professional development, would you be willing to provide a confidential description of specific learners with ASD that you provide services to?  


Billing Information
Additional Information