15th Annual Autism Conference Registration Form


Online registration requires payment through PayPal
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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:

Profession:


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