Adult/Women's Clinical Group Application - Ages 21+
Please complete this form in order to apply for the upcoming Clinical Group for individuals who identify as Adult Women (21+ years old/out of high school) with Autism Spectrum Disorder.
This group is limited to individuals who reside in Pennsylvania - but can be offered in a virtual format.

Some of the goals for this group include: 
- Promoting a general understanding of Autism Spectrum Disorder.
- Describing how a female ASD profile may be different from a male ASD profile.
- Enhancing one's knowledge of their neurodiverse profile (strengths and weaknesses).
- Promoting a better understanding of navigating the social world with a neurodiverse profile.
- Promoting a better understanding of one's own emotions and management of those emotions.
- Connecting with other individuals who may have similar experiences and interests.

*NOTE - Completing this application form DOES NOT guarantee you a spot in the clinical group. You will be contacted by KAS staff to move forward in the process. If you have any questions, please contact our office at (814) 824-4515.*
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First and Last Name of the individual who will be participating in the group. *
Date of Birth of the individual who will be participating in the group. (NOTE - This group is targeted for individuals who identify as female and who are at least 21+ years old/out of high school) *
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Has the individual who will be participating in the group been diagnosed with Autism? *
Does the person who will be participating in the group reside in Pennsylvania? *
Does the person who will be participating in the group currently receive any support for her ASD? *
If you answered "yes" or "I don't know" to the previous question, please explain. (example: receives behavior specialist support; goes to therapy; etc.)
What does the person who will be participating in the group hope to accomplish or learn through participation? *
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