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
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
  Where is the program located?
 
 
 
 

 
 
 
 
 
*
 
 
 
 
 
Are you associated with the program as a:*
 
 
 
 
       
 
 
 
  What makes the program successful?
 
 
 
 
*
 
 
 
 

 
 
 
  Please tell us about yourself
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
 
*
 
 
 
 
 

 
 
 
 
 

 
 
 
 
 
*
 
 
 
 
 
Are you a: (please check all that apply)*
 
 
 
 
 
 
 
 
 
       
 
 
 
 
Would you like to receive communications from Partnership for Extraordinary Minds?
 
 
 
 
 

 
 
 
 
  Thank you for taking the time to help advance our mission!
 
 
  Done   Cancel