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SC Autism Society's 2008 Workshops

SCHOLARSHIP APPLICATION

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* Your Name
* Your Address 1
Your Address 2
* Your City    * State       * Zip Code   
* Phone Please include area code.
* Your E-mail (Changes will be sent by email.)

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Choose
Sessions

Session Name

Location

Date

Deadline for
Requests

# of Scholarships Requested

(1 or 2)

Name of 2nd Scholarship Recipient

(if requested)

Behavior Analysis for Lasting Change(9:00pm-4:00pm)

Columbia Conference Center
169 Laurelhurst Ave.
Columbia, SC

09/03/08

8/20

Basic Teaching Strategies and Support for Students with ASD(4:00pm - 7:00pm)

SCAS HQ
West Columbia and
SCATP Midlands Center
in Columbia (10/6)

Tuesdays, 09/09/2008-10/14/2008

8/26

Becoming a Parent Trainer with Visual and Environmental Supports(6:00pm-8:00pm)

SCAS HQ
West Columbia and
SCATP Midlands Center
in Columbia (10/6)

9/15, 9/22, 9/29, 10/6, 10/20, +

9/9

Navigating the Social World(9:00am-4:00pm)

Columbia Conference Center
169 Laurelhurst Ave.
Columbia, SC

02/20/09

2/06

I am a parent of a child with an ASD who is requesting a scholarship for the above-referenced workshop(s). I understand that the scholarships for parents offered by SCAS are to attend the Workshops I have indicated above. There are a limited number of scholarships offered statewide. Scholarships do not include hotel or travel expenses. If I am awarded a scholarship and do not attend the workshop without notice to SCAS, I will be charged the full registration price.

By typing my initials here, I indicate request for scholarship(s) above (in lieu of signature)


South Carolina Autism Society ♦ 806 12th Street ♦ West Columbia, South Carolina 29169 ♦ 803-750-6988