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b) If you are a teacher or school administrator, would you be
interested in receiving PDP's for attending workshops?
Yes
No
2. What is your special needs area of interest or
concern? (i.e.: learning,
physical, behavior, neurological, developmental, speech/language,
autism,
LD, etc.
3. a) Are you a member of S.N.A.C. at this time?
Yes
No
b) If no, are you interested in becoming a member?
Yes
No
c) If you answered yes to either question, please provide the
following information
Name:
Street:
School/
Schools Affiliated with:
Phone:
4. What grade-level(s) is of concern to you? (check all that apply)
Preschool
Elementary Middle
School High
School
Other
5. If you have not attended S.N.A.C. meeting/workshops, what were
the
obstacles?
A. Inconvenient
daytime
D. Inconvenient location
B. Lack of
transportation
E. Lack of
childcare
C. Lack of
time
F. Not interested
G. Other
6. How often would you prefer S.N.A.C. to meet?
monthly
twice
monthly quarterly
other
7. Volunteers are needed on the following committee. Please
check any that interest you:
By-laws
Web
site
Elections/Membership
Speakers/'Workshops
Fundraising
School Committee Liaison
Scholarships/Awards
Library
Project Annual
Review/3 Year Plan
Public
Relations/Marketing Newsletter
Support Group/Database