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LCC Summit Registration Form - 2019

Registration

 

Summit Registration

We are excited that you want to participate in the upcoming 2019 LCC Regional Summit. Please answer the following questions to register for the event. We will send you additional information as the summit date approaches. If you have any questions, please feel free to reach out to us at HANDS@iupui.edu.
This question requires a valid email address.
12. How did you learn about this event? *This question is required.
13. How familiar are you with HANDS mission and activities? *This question is required.
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Not familiar at allVery familiar
14. Have you previously participated in HANDS-sponsored events (e.g., Summer Training, VR Training, Classroom Collaboration, etc.)? *This question is required.
15. How familiar are you with the Local Community Cadres (LCCs)? *This question is required.
 12345 
Not familiar at allVery familiar
16. Have you participated in a regional LCC? *This question is required.
17. What is your general role in engaging with individuals with autism spectrum disorder? *This question is required.
18. How frequently do you engage with individuals with autism spectrum disorder? *This question is required.
19. In what setting do you usually engage with individuals with autism spectrum disorder? *This question is required.
21. In your opinion, what are the top three challenges in the state with regards to ASD training and services. *This question is required.
23. To ensure your day is accessible, comfortable and meets your needs, please let us know if you have any special dietary or physical needs that require special accommodations. If you wish to speak directly with us, please contact us at (317) 274-2675 or email us at HANDS@iupui.edu. *This question is required.