25th Annual Texas State Autism Conference Parent Stipend Application
Thank you for taking the time to complete this application for a stipend for the 25th Annual Texas State Autism Conference. This year the conference will be in San Antonio, TX, at the Wyndham San Antonio Riverwalk on August 3-4, 2017. For more information and to register, please visit http://txautism.esc2.net/

Please note these stipends are available only to parents/families in Education Service Center Region 13's, Central Texas service delivery area. Please visit http://www4.esc13.net/districts/ to see if your child's school is within Region 13's area or visit www.txautism.net to use the tool provided to search by zipcode.

The 25th Annual Texas State Autism Conference provides educators and parents with evidence based strategies, resources, and tools that may be utilized in the education of students with autism spectrum disorder (ASD). This conference is sponsored by the Texas Education Agency and coordinated by ESC Region 2.

For the past 15+ years, ESC Region 13 has been able to offer stipends to supplement some of the cost of the conference for parents. We are fortunate to be able to offer a limited number of parent stipends again this year. This year the stipend covers the cost of parent registration ($125); participants will be responsible for their own travel, hotel, and food costs. One stipend per family will be considered. Stipend information will be provided to the recipients prior to registration. Please do not register before you receive information on how to register with a stipend. A family must have a child with ASD between the ages of 3 and 21. Priority will be given in the following order:

1. To families with a newly diagnosed child
2. To families who have never attended the Texas Autism Conference
3. To families who have attended the conference in the past, but have never received funding from ESC Region 13
4. To families who represent a geographic diversity in ESC Region 13
5. To families who have the earliest application.

Please note these stipends are available only to families in Education Service Center Region 13's Central Texas service delivery area.

Please also note, you are responsible for making your own arrangements, including registration, hotel, and travel.

SUBMISSION DEADLINE for all applications is May 24, 2017. Award recipients will be notified by May 31, 2017.

Questions? Contact Darcy Schiller at Darcy.Schiller@esc13.txed.net or 512-919-5224 or
Jennifer Russell at Jennifer.Russell@esc13.txed.net or 512-919-5206

Applicant's name:
Your answer
Applicant's address (street address, city, state, zip code)
Your answer
Applicant's phone number (including area code)
Your answer
Applicant's email address (Please make certain to give us an accurate email address. We notify stipend recipients by email.)
Your answer
As the applicant, how are you related to the child with ASD? I am the child's...
In which school district does your child attend school or live?
Your answer
What is your child's current grade level?
Your answer
What is your child's current age?
Your answer
In which year was your child diagnosed with Autism Spectrum Disorder (ASD)? (2017? 2004? etc.)
Your answer
I have attended the Texas Autism Conference in the past.
What was the most recent year you attended the Texas Autism Conference?
Your answer
I have received funding from ESC Region 13 to attend the Texas Autism Conference.
Please indicate the year of previous award.
Your answer
Would you be willing to provide a parent's perspective as a panelist or co-presenter at a regional workshop or conference?
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