By applying to the Autism Spectrum Post

advertisement
AUTISM SPECTRUM POST-SECONDARY
INTEREST EXPERIENCE (ASPIE)
HO S TE D B Y : P E N N S Y L V A N I A C O L L E G E O F TE C H N O L O G Y D I S A B I L I TY S E R V I C E S A N D B L A S T I U 1 7
What will I major in?
How should I choose a college to attend?
What support is available in the post-secondary setting?
It is essential to ask the right questions while exploring post-secondary programs/fields.
The ASPIE program is the perfect opportunity for high school students with Autism Spectrum
Disorders and their parents to obtain valuable information pertaining to post-secondary education
and career exploration. The ASPIE program will run for two consecutive days on 6/13/13 and
6/14/13. It will give participants the opportunity to experience living on campus by staying
overnight on campus.
How students and parents can benefit…
Students on the spectrum will be given a unique opportunity to interact with college
professionals and current college students during informational sessions and a student panel.
Session topics include: self-advocacy, rights and responsibilities of college students with
disabilities, and post-secondary education/career exploration including a Career Assessment
Inventory. Parents will also receive information pertaining to financial aid and other services
available to students with disabilities.
To apply for this program, please complete the following application and mail it to Disability
Services with your $25 application fee by May 13, 2013 to the address listed below. The
application fee will be used to cover the cost of the overnight stay on campus, lunch and breakfast
per family (dinner on 6/13/13 will be on your own).
Disability Services
Pennsylvania College of Technology
One College Avenue
Williamsport, PA 17701
Phone: 570-320-5225
TTY: 570-321-5528
Fax: 570.327.4501
E-mail: disabilityservices@pct.edu
AUTISM SPECTRUM POST-SECONDARY
INTEREST EXPERIENCE (ASPIE) APPLICATION
SECTION 1: DEMOGRAPHICS
Student’s Name:
Student’s age:
Parents’/Guardians’ Name(s):
Address:
Phone Number:
Student’s Email Address:
Parents’ Email Address:
SECTION 2: ACADEMIC INFORMATION
High School Attending:
School District:
Grade:
Major/Career Interest:
SECTION 3: RSVP
Please indicate the total number attending the ASPIE program:
SECTION 4: ACCOMMODA TION INFORMATION
PENN COLLEGE ENCOURAGES QUALIFIED PERSONS WITH DISABILITIES TO PARTICIPATE IN ITS
PROGRAMS AND ACTIVITIES. IF YOU ANTICIPATE NEEDING ANY TYPE OF ACCOMMODATION OR HAVE
QUESTIONS ABOUT THE PHYSICAL ACCESS PROVIDED, PLEASE CONTACT DISABILITY SERVICES IN
ADVANCE OF YOUR PARTICIPATION OR VISIT.
Please list accommodations including any housing and food accommodations that will be needed
for your visit:
SECTION 5: PERSON RESPONSIBLE
By applying to the Autism Spectrum Post-Secondary Interest Experience (ASPIE) program and
signing this application, I indicate that I understand that this program is for High School students
diagnosed with Autism Spectrum Disorders and their parents/guardians. Students must have a
parent or guardian accompanying them for the duration of the program.
______________________________________________________________________________________
Applicant Signature
______________________________________________________________________________________
Parent/Guardian Signature
_____________________
Date
_____________________
Date
Download