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July 31–August 3, 2023

National Autism Conference

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Student Volunteer Summer Teaching Application

Student Volunteer Summer Teaching Application

Please complete this form and attach a letter of recommendation from a university professor. Applications are due Friday, June 23, 2023. Recipients will be notified by Friday, June 30, 2023.

"*" indicates required fields

Step 1 of 4

25%

Name*

First Last

Email*

Enter Email Confirm Email

Preferred Phone*

Summer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

College/University*

University ID #*

Major*

Class Standing*

Referral

Name of professor referring you*

Department of the professor*

Letter of Recommendation*

Attach a signed letter of recommendation from your professor (PDF, JPG, PNG).

Accepted file types: pdf, png, jpg, jpeg, Max. file size: 20 MB.

Clearances*

You need Act 34, Act 114, and Act 151 clearances before your summer volunteer experience begins

I have Act 34, Act 114, and Act 151 clearances

I do not have all of them, but I will get them before the volunteer experience begins

What clearances do you currently have?

Act 34

Act 114

Act 151

What days do you plan to attend the conference?*

Monday

Tuesday

Wednesday

Thursday

What age group(s) between ages 3–21 do you prefer to work with?*

List your previous experience working with children with specials needs.

Why do you want to work at the Children's Institute?*

List your special skills (e.g., sign language, yoga, sports)

Confirmation*

By checking this box, I submit my application for a student volunteer position at the National Autism Conference. I know in order to fulfill my obligation, I must attend the three training and preparation days before the conference, and attend the four-day conference. As compensation for my volunteer hours, I understand I will receive complimentary conference registration, mileage and lodging reimbursement, a daily meal per diem, 16 hours of experience working with children with autism, and at least four chosen session presentations at the National Autism Conference.

Email

This field is for validation purposes and should be left unchanged.

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Student Volunteer Summer Teaching Application

National Autism Conference

Conferences and Institutes
The Pennsylvania State University
University Park, PA 16802

Phone: 814-863-5100
Email: autism@outreach.psu.edu

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