Public School Program Recommendation Form

We welcome information regarding successful public school programs for diploma-bound students on the autism spectrum. Please provide the following information about the school or program:     Contact information for the program         Name of person to contact:*           Phone number:*           Where is the program located?         County:           State:*           Are you associated with the program as a:*   Student   Parent of a student   Teacher   School Administrator   Other, please specify                 What makes the program successful?         Such as the quality of teachers, specialized teacher training, staff/student ratio, supportive administrators, consistency of quality across locations and staff, etc.*                 Please tell us about yourself         First Name*           Last Name*           Street Address*           City*           State*           Zip/Postal Code*           Country (if other than United States)           Phone Number (daytime)           Email*           Are you a: (please check all that apply)*   Parent of a child with autism   Student on the autism spectrum   Family member of someone with autism   Teacher   School Administrator   Educational Advocate   Attorney   Physician   Therapist   Other, please specify                 Would you like to receive communications from Partnership for Extraordinary Minds?   By email By mail I do not want to receive communications         How did you hear about Partnership for Extraordinary Minds?           Thank you for taking the time to help advance our mission!