Apply to Work with Dr. Tasnuva
This is the Intake Form for the Waiting List to get inside Autism Success Academy: Foundation- and Mastery Program
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Email *
Have You Read The PROGRAM DETAILS page THOROUGHLY yet? If Not, You will be declined your call and spot if you haven't read the Full Page carefully. *
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Full Name of Guardian *
Email Address of Guardian *
Time Zone of your residence. *
Social Media Link of Guardian *
Full Name of Child plus Age *
Detailed Diagnosis of your child? *
What Have You Tried So Far? *
What are your Current Struggles with your child? *
Top 3 Goals you want to reach for your child? *
What are some of the things holding you back from reaching those goals? *
Why Do You Think We are a Good Fit to work together? *
Why Do You Think You Should Be A Member of Autism Success Academy? *
How MOTIVATED & COMMITTED are you towards reaching your goals? *
I would rather wait and suffer
I am ready for transformation
Which level of investment would you expect to pay to achieve those goals for your autism child? *
Have You Read The Investment part of the Program Yet? If not please go back and read. If you feel you have the resources or is confident you can be Resourceful then ONLY Submit the form Please. *
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