Virginia Autism Council Training Request Form

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Virginia Autism Council Training Request Form
To request an interactive training workshop to present in your community, simply fill out this form and mail to the Virginia
Autism Council at . Your request will be promptly reviewed and notification will be sent via email.
Please provide the request a minimum of 6 weeks prior to delivery of the training workshop to allow time for VAC members to
review the request and send materials as needed.
Presenters are to gain permission to use the training each time it is presented; permission for multiple training events may be
made all at one time.
Presenter Information (Please complete for each person who will be presenting the workshop):
Name of
Please indicate
Agency/
Number of
Please provide a
Presenter(s)
if you are a
organization
years
brief description of
person with
experience with
experience with
ASD, a family
ASD as family
ASD
member, or a
member or
service
professional
provider

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