Program Application

Program Application

Teens Exploring Engineering
Thank you for your interest in Teens Exploring Engineering!

The Teens Exploring Engineering Program is being offered for Fall 2023 in two consecutive sessions, taking place on Saturday, October 28 and Saturday, November 4 from 10:30 a.m. - 1:30 p.m. Teens will learn about the daily activities of an engineer while engaging in fun, hands-on STEM learning activities! With questions, please contact Autism Connections at connect@autismcincy.org.
Parent Name
Zip Code
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Teen Name
Teen Age
Is your teen verbal or do they use an AAC device to communicate?
On a scale of 1 to 5, please rate how well your teen responds to questions.
1 is needs repeated prompting, 5 is responds independently
On a scale of 1 to 5, please rate how well your teen follows directions.
1 is needs repeated prompting, 5 is follows directions independently
On a scale of 1 to 9, how well does your teen collaborate with others.
1 is stands by their own ideas, 5 is offers ideas and is open to others, 9 is adopts everyone else’s ideas
Please describe any behaviors your teens has, or add anything else that would help support your teen's engagement in the program.
Should be Empty: