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Application Form – Open Recruitment for Children with ASD (Progressive ABA Demonstration Workshop)

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    Parent’s name:*

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    Email:*

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    Contact number:*

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    City:*

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    Is this your first time to join our event?

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    How did you know about AP?

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    Please submit the child's latest assessment report (2MB or below)

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    Child Name*

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    Sex:*

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    Day of birth:*

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    Mother Language:*

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    Number of words in a sentence

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    Words knew

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    Can your child response to you?*

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    Can your child take initiates to ask for something?*

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    Can your child take initiates to say his/her opinions?*

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    Can your child answer the below questions? (You May Choose More Than One)*
    Who…?why…?What's happening ...?where…?How…?None of the above

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    Eye contact

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    Can your child express his/her social needs by words/body language?*

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    Can your child stay alone without parents?*

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    Does your child have self-stimulating behavior?*

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    Can your child go toilet by himself/ herself?*

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    Does your child have picky eating problem?*

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    What kind of toys, game or activities your child like to play or do in his/her free time?*

    Which 3 problem areas from your child you want us to tackle?*

    By submitting this form, you agree to the following terms and conditions:

    1. Autism Partnership will notify selected families via email by October 7, 2024. Families who do not receive an email notification by that date will be considered unsuccessful applicants.
    2. Children selected to participate must be accompanied by a parent or caregiver. Each child from a family must arrive at the event venue at the time designated by Autism Partnership.
    3. Upon selection, parents are required to provide information about their child’s abilities and submit a video to help Autism Partnership better understand the child.
    4. This demonstration is intended for children aged 2 to 6 who have autism, families without a child with autism will not be accepted.
    5. The purpose of this workshop is to enhance public awareness of autism and provide more information about Autism Partnership. It is not intended for case consultations or child therapy sessions, and no reports will be provided.By submitting this form, you agree to the following terms and conditions:
    6. Protecting your privacy is extremely important to us! The personal data will only be retained for 3 months and will be destroyed securely afterwards
    7. Autism Partnership reserves the right to amend these terms and conditions at any time without prior notice. In the event of any disputes, Autism Partnership’s decision will be final.