DSM-5: Medical & Educational Perspective on ASD Diagnosis
October 23, 3:30 - 4:15pm

1. Registration for Webinar

Webinar Title: DSM-5: Medical & Educational Perspective on ASD Diagnosis
Presented by: Sarah Hoffmeier, MSW; Kathy Ellerbeck, MD, MPH; Cathy Smith, PhD
Date: Wednesday, October 23, 2013
Time: 3:30pm-4:15pm
Location: Online, using Adobe Connect

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Test your connection: http://ksde-tasn.adobeconnect.com/common/help/en/support/meeting_test.htm

REQUIRED INFORMATION
All questions requiring a response are marked with an asterisk (*). At the end of the survey, you will have a link to enter the Webinar. You will also receive an email the day of the webinar, with the link to join.

Question Title

* 1. School District/Coop
(We have options for those that aren't with a district, please be as accurate as you can.)

Question Title

* 2. Contact Information

Name (First and Last)

E-mail

Confirm E-mail

Question Title

* 3. Role/Position

Adaptive PE

Administrator, REG ED

Administrator, SPED

Autism Specialist

Behavior Specialist

Low Incidence Specialist

Parent

School Nurse

School Psychologist

SLP

Social Worker

Teacher, ECSE

Teacher, REG ED

Teacher, SPED

Transition Specialist

Vocational Education Specialist

Other (please specify)

Question Title

* 1. School District/Coop(We have options for those that aren't with a district, please be as accurate as you can.)

Question Title

* 2. Contact Information

Question Title

* 3. Role/Position

* 1. School District/Coop
(We have options for those that aren't with a district, please be as accurate as you can.)