ICAP Request Form

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Your Name* This field is required.

First Name

Last Name

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Your Title* This field is required.

First Name

Last Name

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Phone Number* This field is required.

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School Name* This field is required.

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School Location* This field is required.

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Work Email* This field is required.

example@example.com

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How would you rate your current confidence in supporting neurodiverse students and/or students with special educational needs (SEN) in your school?* This field is required.

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Not confident

Very confident

8

Which SEN students do you have enrolled in your school?* This field is required.Select all that apply

Autism Spectrum Disorder (ASD)

Dyslexia/Dyscalculia

Attention Deficit Hyperactivity Disorder (ADHD)

Speech and Language Disorders

Emotional and Behavioral Challenges

Physical Disabilities

Sensory Impairments

Other

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What are the biggest challenges you face when supporting students with SEN?* This field is required.

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Which of the following areas of training do you feel your school would benefit from the most?* This field is required.Select all that apply

Understanding Specific Diagnoses (e.g., Autism, ADHD, Dyslexia)

Designing Individualized Education Plans (IEPs)

Promoting Social and Emotional Learning (SEL)

Collaboration with Parents and/or Caregivers

Differentiated Instruction

Promoting Emotional Regulation

Understanding Principles of Inclusive Education

Other

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If training is provided, what format do you find most effective?* This field is required.

In-person workshops

Live online meetings

Online courses (self-paced)

Other

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If training is provided, what time do you find most convenient?* This field is required.

After school hours

Flexible/self-paced

Weekends

Other

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Please give us a few dates that would be suitable for workshops/training start.* This field is required.

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Additional Questions/Comments