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CAAAC Inaugural Conference Registration Form 美国华人自闭症联合会 第一届社区会议 注册表
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* Indicates required question
Your Name (First Name, Last Name):
你的姓名:
*
Your answer
Your Email:
你的邮箱:
*
Your answer
Your Role in the Autism Community:
你在自闭症社区里是:
*
I am an autistic individual/individual with autism 我是一名自闭症人士
I am a family member (e.g., parent, grandparent) 我是一名自闭症人士的家庭成员(例如:父/母亲,祖父/母)
I am a professional serving individuals and families affected by autism 我是一名服务自闭症人士/家庭的专业人员
I am a researcher 我是一名研究者/学者
Other:
Required
What is your biological sex assigned at birth?
你的出生性别:
*
Male 男
Female 女
Prefer not to answer 不想回答
What gender do you identify with?
你的性别认同:
*
Man 男性
Woman 女性
Non-binary 非二元性别
Prefer not to answer 不想回答
Other:
What is your age (in years)?
你的年龄 (年):
*
Your answer
Would you like to receive emails from CAAAC for future events and resources?
你是否允许
美国华人自闭症联合会(CAAAC)通过电子邮件联系你,以便告知我们未来的会议/活动/重要资讯和分享资料?
*
Yes 是
No 否
Will you attend in person or virtually?
你会现场参会还是线上参会?
*
In person 现场参会
Online/virtual 线上参会
What would you like to take away from the conference?
你期望从本次会议中收获什么?
*
Your answer
What has been the biggest challenge faced by the Chinese American Autism Society, for your perspective as a stakeholder?
作为华人自闭症社群里的一员,从你自身经历出发,你认为华人自闭症社群遇到的最大的挑战是什么?
*
Your answer
What kind of resources are you interested in getting (Check all that apply)?
你对以下哪些信息感兴趣 (可多选):
*
Newsletters 定期推送
Webinars 网课/线上讲座
Online Services 线上服务
Research Study Information 科研项目信息
Required
What are the content areas related to autism that you are interested in (Check all that apply)?
你对以下哪些方面的信息感兴趣 (可多选):
*
Genetics/Neuroscience 基因/神经科学
Epidemiology 流行病学
Diagnostic and behavioral assessments 自闭症诊断和行为评估
Early development and intervention早期发展与干预
School-age/Adolescent development and Intervention 学龄/青少年发展与干预
Service delivery/System of care 服务开展/系统干预
Adult experiences and outcomes 成年经历与相关事宜
Family functioning/Stakeholder perspectives 家庭功能与社群经历
Individual, family, societal advocacy 个人,家庭,社会倡导
Other:
Required
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