Training Request Form UF CARD Training Request Form Name* First Last Email Enter Email Confirm Email Phone*Florida County*AlachuaBradfordCitrusColumbiaDixieGilchristHamiltonHernandoLafayetteLevyMarionPutnamSuwanneeUnionWe serve 14 counties in North Central Florida. If your county is not listed, please contact your regional CARD office.Your Organization*SchoolSchool DistrictService ProviderCommunity/ChurchParent GroupOtherPlease select one or more items that describe your organization. If you choose Other, please enter the type of organization in the box below.Organization OtherIf you selected Other above, please enter the organization type here.Organization Name*Please enter the name of your organization.Topic(s) Requested* Overview of Autism Spectrum Disorder (ex: Autism, Asperger, PDD) and/or Related Disabilities Evidence-Based Methodologies (ex. ABA, Incidental Teaching, etc.) Potty Training Communication Sensory Issues Developing Social Competence Transition to Adult Life Peer Training Strategies for Inclusion in General Education Literacy for Individuals with Significant Disabilities Medication Information Behavior Legal Rights Education for Caregivers Visual and Environmental Supports Assistive Technology Other Please check the topic or topics you would like to learn about. If you select Other, please enter the topic in the box below.Other TopicDescribe the audience and the anticipated learner outcomes.*Approximate Number of Participants*Approximate Number of Participants Please indicate how many participants are expected. NOTE: Groups of 5 or larger only. Individuals and groups smaller than 5 people please contact our office directly for options.Preferred Date(s) for Training*Please enter a preferred date or range of date options.Preferred Time(s) & Duration for Training*Please enter the time of day you would like the training to occur and how long you would like the presentation to last.Preferred location of training:Additional InformationPlease add any additional information or request details. This iframe contains the logic required to handle Ajax powered Gravity Forms.