Hussman Center for Adults with Autism Program Interest Indication Form

Hussman Center for Adults with Autism Program Interest Indication Form

First Name:

Last Name:

Email:

Programs will begin the Week of February 16th and End the Week of April 27th (unless otherwise noted on our program calendar which is found on our website). We will take a break the Week of March 16th for TU spring break. Make ups will occur the week of May 4th.

How many programs would you like to participate in this semester?

123

Top Program Choice:

Work Possibilities MondayPaint & SipGamingMovie ManiaCooking 1Top GolfHealthy RelationshipsArt ClubBake a Cake(& More)Cooking with Chef MannyActivities ClubExpress YourselfTriviaUnified BasketballUnified Flag FootballBalanced Minds: Anxiety Reduction for WorkImprov & ActingAdvanced FitnessDanceCooking 2Introductory FitnessWork Possibilities FridayLeisure Exploration- MondayLeisure Exploration- WednesdayGarden Club

Second Program Choice:

Third Program Choice:

Selecting a program indicates that you are interested in attending that program.

Selecting a program does not guarantee program acceptance. You will be notified if there is space in the programs for you to attend.

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