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 run from the week of February 17th to the week of May 5th.

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

123

Top Program Choice:

A Chance to DanceArt ClubCooking 1Cooking 2 Cooking with Chef MannyFilm FanaticsFitness MondayGaming ClubHealthy RelationshipsHunch for LunchMindfulness & MovementMulti Modal CommunicationsRoboticsTriviaUnified Sports Basketball (6 weeks)Unified Sports Flag Football (6 weeks)Work Possibilities - Wednesday Work Possibilities Wednesday- with Balanced Minds WorkshopWork Possibilities - Friday Work Possibilities Friday- with Balanced Minds WorkshopWorld CuisinesWrite and Act

Second Program Choice:

A Chance to DanceArt ClubCooking 1Cooking 2Cooking with Chef MannyFilm FanaticsFitness MondayGaming ClubHealthy RelationshipsHunch for LunchMindfulness & MovementMulti Modal CommunicationsRoboticsTriviaUnified Sports Basketball (6 weeks)Unified Sports Flag Football (6 weeks)Work Possibilities WednesdayWork Possibilities Wednesday- with Balanced Minds WorkshopWork Possibilities FridayWork Possibilities Friday- with Balanced Minds WorkshopWorld CuisinesWrite and ActI do not have a second choice

Third Program Choice:

A Chance to DanceArt ClubCooking 1Cooking 2Cooking with Chef MannyFilm FanaticsFitness MondayGaming ClubHealthy RelationshipsHunch for LunchMindfulness & MovementMulti Modal CommunicationsRoboticsTriviaUnified Sports Basketball (6 weeks)Unified Sports Flag Football (6 weeks)Work Possibilities WednesdayWork Possibilities Wednesday- with Balanced Minds WorkshopWork Possibilities FridayWork Possibilities Friday- with Balanced Minds WorkshopWorld CuisinesWrite and ActI do not have a third 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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Contact Information