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Center for Outreach & Education
Outreach Application
Thank you for your interest in the NDSC’s Outreach Program. Please answer the following questions to help us better understand your needs. We look forward to working with you and serving the families in your area.
Organization Name
*
Contact Name
*
First
Last
Contact Email
*
Contact Phone
*
What type of program are you interested in?
*
Make a selection
One Day Conference with Multiple Sessions
Half Day Conference on One Topic
Multi-Day Conference with Multiple Sessions
Program Topics
*
Please select all of the topics of interest for the program.
Adult Health
Advocacy
Behavior Strategies
Benefits Mapping
Best Practices in Inclusive Education
Financial Planning (Trusts, Guardianship, etc)
Gross Motor Skills
Medical Concerns
Nutrition & Fitness
Puberty
Reading/Comprehension
Research
Speech & Language
Technology
Other
Do you have any specific speaker(s) of interest?
Area Served
What areas (i.e. counties, cities, regions, and/or states) would be served by this program?
Program Date
*
When are you interested in holding the program?
Program Venue
*
Do you have a preferred or suggested venue to hold the program?
Planning Committee
If you have board members, volunteers, and parents that would be interested in helping with the planning process, please list their name and relationship to your organization?
Do you expect any Spanish-speaking attendees?
Yes
No
Organization's Operating Budget
*
Please select which best describes your organization's annual operating budget?
Under $10K
$10K - $25K
$26K - $50K
$51 - $100K
Over $100K
Program Charge for Attendees
*
What would be an appropriate charge for this program that represents the socio-economic status of the families served?
Program Budget
*
What is your allocated budget range for this program?
Once you submit your application, you will receive a confirmation to the email listed above. If you do not receive a confirmation email, please contact
tamara@NDSCcenter.org.
Applications are reviewed by the NDSC monthly.