Educator Contact Form

I am a(n):*

Teacher
Educational Assistant
School Counselor/ Administrator
Tutor (outside the school system)
Outdoor Educator (camp, city program, etc.)

The Level I teach Autistics Is:*

Early Childhood Education
Grades 1 through 6
Grades 7 through 12
Apprenticeship or On-the-Job Training
College or University

The need or frustration about the autism spectrum which brought me here today is...?*

The autistic spectrum includes ADHD, Asperger's, Dyscalculia, Dyslexia, Dyspraxia, Kanner's, OCD, PDD-NOS, and Tourette's. Females in the spectrum are often misdiagnosed with Anxiety/ Panic Disorder, Bipolar, Eating Disorder, Fibromyalgia, and OCD.

I'm seeking support for:

Myself as an Individual Educator
Educators in my School
Educators in my Board or District

The specific events, issues, or professional development trainings I would like to discuss include...

My top goals for my (and my team's) educational experiences with autistic students include:

Name*

First Last

Your Best Email*

Because I have autism and the associated heightened variability in daily function, I am not on the computer every day. Thank you for your patience.

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Please note: Your name and email will only be used to contact you directly. Your information will not be added to my newsletter mailing list unless you select that option below.

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