18TH ANNUAL ALABAMA AUTISM CONFERENCE

FEBRUARY 22, 2019

Building Communication in ASD by Strengthening Skills and Systems

18th Annual Alabama Autism Conference

February 22, 2019

Scholarship Form

Scholarships are available through the Autism Society of Alabama (ASA). Scholarships cover registration fees only. Applications are given priority based on membership status in the Autism Society of Alabama, date of receipt, and previous scholarship award. The conference is designed to transfer the very latest research regarding diagnosis and treatment of Autism Spectrum Disorder (ASD) and provides an overview of common challenges in working with individuals with ASD.

SCHOLARSHIPS

CONSUMER INVOLVEMENT FUND SCHOLARSHIPS

The Alabama Council for Developmental Disabilities (ACDD) offers scholarships for parents and caregivers through the Consumer Involvement Fund (CIF). Up to $500 per year, per person is available for in-state conferences ($1200 for out-of-state events).

CIF scholarships may cover registration fees, childcare, personal assistance, lodging, meals, transportation and other preapproved needs.

CIF applications for this conference are due January 11, 2019.

Before completing ASA's scholarship application, please consider applying for the Consumer Involvement Fund scholarship if you are a parent or caregiver.

Call 1-800-232-2158 or visit www.acdd.org to apply or to receive more information about the ACDD's Consumer Involvement Fund.

AUTISM SOCIETY OF ALABAMA SCHOLARSHIPS

Applications are given priority based on membership status in the Autism Society of Alabama (ASA), date of receipt, and previous scholarship award.

Scholarships granted through the Autism Society of Alabama cover registration fees ONLY.

The ASA will register scholarship award recipients. If you are notified that a scholarship is not available, please register through The University of Alabama, College of Continuing Studies at 205-348-3000 or at autism.ua.edu.

ASA Scholarship Application Deadline is Wednesday, February 6. All ASA scholarship applicants will receive notice of their application status by Tuesday, February 12.

***Limited number of scholarships available*** Application Deadline: Wednesday, February 6

Before Wednesday, February 6

send completed application to:

Autism Society of Alabama

ATTN: Conference

4260 Cahaba Heights Court, Suite 188

Birmingham, AL 35243

OR

EMAIL: bamah@autism-alabama.org

For more information about the conference, call 205-348-3014 or visit autism.ua.edu.

This conference is designed to improve the quality of life for persons living with ASD by educating professionals who work in the field.

SCHOLARSHIPS

18th Annual Alabama Autism Conference

AUTISM SOCIETY OF ALABAMA SCHOLARSHIP APPLICATION

NAME: _____________________________________________________________________________

TITLE: ______________________________________________________________________________

COMPANY: _________________________________________________________________________

ADDRESS: __________________________________________________________________________

ADDRESS: __________________________________________________________________________

CITY: ____________________________ STATE: ________________ ZIP: _______________

EMAIL: ______________________________ PHONE: (   )

I am requesting a (check one):

_____ Partial Scholarship (attendee pays $65)

_____ Full Scholarship

Are you a current member of the ASA?

_____ Yes ______ No

Please check any that apply:

_____ I am a person with ASD.

_____ I am the family member of a child with ASD.

_____ I am the family member of an adult with ASD.

_____ I am an educator. Grade level: ____________________

School District: __________________

Incomplete scholarship applications will be returned to sender. Scholarships are available for conference fees only. Applicants are responsible for making their own transportation and lodging arrangements.

Note: The University of Alabama is committed to complying with the Americans with Disabilities Act. Please make your request for accommodation at least 30 calendar days in advance of program date by stating your request here:

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autism.ua.edu

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