15th Annual Autism Conference Registration Form

Online registration requires payment through PayPal
If paying by check or purchase order, please print out the registration form and return via mail or fax. The conference brochure including the registration form can be found at http://www.albany.edu/autism/conferences_annual.php

Registrant Information

First Name: A value is required.

Last Name: A value is required.

School District or Agency: A value is required.

Address: A value is required.

Address Line 2 if needed:

City: A value is required.Minimum number of characters not met.

State: A value is required.

Zip Code: A value is required.

County: A value is required.

Phone Number: A value is required.

Email: A value is required.Invalid format.

Name on credit card, if different than registrant:


Breakout Session Choices: Choose one from each session

Session One

Smooth Transitions: Helping Students with Autism Navigate through the School Day
Factors Relating to Education Professionals’ Classroom Practices for Inclusion of Students with ASD

From I.E.P. to J-O-B: Preparing Students on the Autism Spectrum for Employment

A Cognitive Behavioral Intervention Program to Treat Anxiety and Social Deficits in Teens with High Functioning Autism
Please make a selecti

Session Two

Preparing Students with ASD for Life after High School
A Peer Education Program about ASD for Elementary School Students
Executive Function and Autism Spectrum Disorder

Learn to Play, Play to Learn

Please make a selection.

Registration Fees

  • $65 NYS Resident without CEUs
  • $90 Out of State Resident without CEUs
  • $80 NYS Resident and NASP Credits
  • $80 NYS Resident and ASHA Credits
  • $80 NYS Resident and Social Work Credits
  • $105 Out of State Resident and NASP Credits
  • $105 Out of State Resident and ASHA Credits
  • $105 Out of State Resident and Social Work Credits