Application Form – ADOS-2 Online Clinical Training Jan 27th, 28th and 29th, 2021 Certified trainer: Dr Lisa Reisinger Find out more details Register for the training using the form below. Once your registration is reviewed by your trainer, we will email you by the end of next week to confirm the next step and payment. Full name (as you would like it to appear on your certificate of attendance) (required): Email (required): Primary phone number: Mailing address: Professional title and place of work (for professionals): List any graduate degrees (for professionals): List any membership to professional order/s: If in school, name the university AND program in which you are studying: If in school provide the name of your graduate studies supervisor: Expected date of graduation: Briefly describe your training and/or experience working with individuals with Autism Spectrum Disorder: How do you plan to use the ADOS-2 in your professional practice? How did you hear about us? (required) Our websiteColleagues/FriendsSchoolOntario psychologyOther
