School Based Screener
PREREQUISITE FOR PROGRAM ADMISSION: Child MUST have the following foundational skills for the group intervention to be impactful.
Please select yes or no to the questions below:
Does your child/student need additional support to do the following things below:
Developing/maintaining friendships, interpreting body language and social cues of others, managing and self-regulating emotions of others, developing self-advocacy skills, and developing self-confidence.
PLEASE NOTE: This is not a guarantee of services. This form is utilized as an initial screening process for staff purposes only. If it is determined that your classroom may be a potential fit for this program, you will be contacted by a member of our staff to schedule a classroom observation.