1. A P ...
      2. A A P ...
      3. C P ...
      4. I C ...
      5. THE SCHOOL DISTRICT PARTNER WILL…
      6. CARD WILL...

John Winn, Commisioner
Partnership for Effective Programs
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for students with autism?
Designed to Enhance the capacity of Florida teachers to provide
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quality educational programs to students with autism.
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A P ...
The Partnership Program is funded by the Florida Department of
Education, K-12 Public Schools, Bureau of Exceptional Education
and Student Services, and is designed to provide training and
technical assistance to teachers or a school program that wishes
to enhance the educational program for students with autism.
Each teacher or school will be matched to a Center for Autism
and Related Disabilities (CARD) professional who will mentor
the teacher or school staff in developing a plan for implementing
innovative and effective practices within educational programs
for students with autism. The CARD partner will provide support,
resources, technical assistance, and training that is specific to the
needs identified by the teacher or school.
A A P ...
• Teachers or school contact person should complete the
enclosed application and include the approval signature of their
supervisor or building principal.
• The completed application should be submitted to the CARD
supporting the school district (see address list on back).
• The number of teachers or schools that may enroll is limited.
• A CARD committee will review the applications to select
Partnership Program participants.
C P ...
• Participants must be teachers or school staff in the State of
Florida who provide instruction to a student or students with
autism within a general or special education program.
• There must be a commitment by the teacher or school staff to
the enhancement of practices or school components that are
provided to students with autism.
I C ...
Educators completing a project have the opportunity to apply for
BOUT THE ROGRAM
BOUT THE PPLICATION ROCESS
RITERIA FOR ARTICIPATION
NSERVICE OMPONENTS
in-service components toward recertification.

THE SCHOOL DISTRICT PARTNER WILL…
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Develop a collaborative relationship with a CARD partner (The
participating teacher and CARD partner will meet regularly and
work together toward the achievement of identified goals).
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Assess the program currently being provided to students with
autism and identify components or practices to improve or
implement.
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Develop and implement an action plan focused on
implementing innovative practices within the program
provided to students with autism.
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Document the outcomes achieved within the Partnership
Program through the development of a professional
portfolio or program evaluation.
CARD WILL...
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Develop a collaborative relationship with the participating
teacher or school leader (The CARD partner and participating
teacher or school leader will meet regularly and work together
in the achievement of identified goals).
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Provide assistance with the assessment of the program
provided to students with autism and the identification of
program components or practices to improve or implement.
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Assist in the development of an action plan and the
identification of training opportunities.
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Provide registration reimbursement and travel expense support
for attending the CARD annual conference.
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Provide a stipend and resource material allowance to assist
the teacher or school leader with expenses associated with the
Partnership Program.
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Assist the teacher or school leader in the documentation of
outcomes through the development of a professional portfolio
or program evaluation.

Part II. Narrative (must complete to be considered)
Please answer briefly on an additional sheet of paper, and attach
to this form.
1. Why do you want to be involved in this advanced training/
program development opportunity? What makes you or your
program an ideal candidate?
2. Describe the instructional program or practices you use in
educating students with autism.
Part III. Commitment and Approval
I understand that this training opportunity requires the development
of a collaborative relationship with a CARD professional and the
implementation of new practices in my classroom or school.
Signature
Date
I approve of this teacher’s application and look forward to
supporting his/her efforts.
Date
Administrator’s Signature
www.fldoe.org
This product was developed by the Center for Autism and Related Disabilities,
through the Partnership for Effective Programs for Students with Autism, a special
project funded by the State of Florida, Department of Education, K-12 Public
Schools, Bureau of Exceptional Education and Student Services, through federal
assistance under the Individuals with Disabilities Education Act (IDEA), Part B.

A
P P T S
AUTISM
Directions: Please submit this application by mail or fax to your
designated CARD center by September 20, 2004.
Part I. Applicant Information
Name:
Maiden Name:
Home Address:
City:
State Zip:
Social Security #:
Home Phone:
Preferred E-Mail:
School Name:
School Address:
City:
State: Zip:
School Phone:
School Fax:
County:
Grade Level/Instructional Assignment:
Number of Students with Autism:
PPLICATION
ARTNERSHIP ROGRAM FOR EACHERS OF
TUDENTS WITH

Florida State University-CARD
Partnership Program Coordinator
625-B North Adams Street
Tallahassee, FL 32301
Toll Free: 800-769-7926
Phone: 850-644-4367
Fax: 850-644-3644
http://autism.fsu.edu
University of South Florida-CARD
Partnership Project Coordinator
Louis de la Parte Florida Mental Health Institute
Department of Child and Family Studies
13301 Bruce B. Downs Blvd.
Tampa, FL 33612
Toll Free: 800-333-4530 (in Florida)
Phone: 813-974-6168
Fax: 813-974-6115
http://card-usf.fmhi.usf.edu
University of Florida, Gainsville-CARD
Partnership Program Coordinator
P.O. Box 100234
Gainesville, FL 32610-0234
Toll Free: 800-754-5891
Phone: 352-846-2761
Fax: 352-846-3703
University of Florida, Jacksonville-CARD
Partnership Program Coordinator
6026 San Jose Blvd.
Jacksonville, FL 32217
Phone: 904-737-5239
Fax: 904-396-4718
www.centerforautism.org
University of Cental Florida-CARD
Partnership Program Coordinator
12001 Science Drive, Suite 145
Orlando, FL 32826
Toll Free: 888-558-1908 (in Florida)
Phone: 407-737-2566
Fax: 407-737-2571
http://www.ucf-card.org
University of Miami-CARD
Partnership Program Coordinator
Department of Psychology
5665 Ponce de Leon Blvd.
PO Box 248768
Coral Gables, FL 33124-0725
Toll Free: 800-928-8476 (in Florida)
Phone: 305-284-6563
Fax: 305-284-6555
www.umcard.org
Florida Atlantic University-CARD
Partnership Program Coordinator
Department of Exceptional Student Education
777 Glades Road
Boca Raton, FL 33431
Toll Free: 888-632-6395
Phone: 561-297-2023
Fax: 561-297-2507
Districts: Bay, Calhoun, Escambia, Franklin, Gadsden,
Gulf, Holmes, Taylor, Jackson, Jefferson, Leon, Liberty,
Madison, Okaloosa, Santa Rosa, Wakulla, Walton,
Washington
Districts: Charlotte, Collier, Desoto, Glades, Hardee,
Hendry, Highlands, Hillsborough, Indian River, Lee,
Manatee, Martin, Okeechobee, Pasco, Pinellas, Polk,
Sarasota, St. Lucie
Districts: Alachua, Bradford, Citrus, Columbia, Dixie,
Gilchrist, Union, Hamilton, Hernando, Lafayette,
Levy, Marion, Putnam, Suwannee
http://www.card.ufl.edu
Districts: Baker, Clay, Duval, Flagler, Nassau, St. John’s
Districts: Brevard, Lake, Orange, Osceola, Seminole,
Sumter, Volusia
Districts: Broward, Dade, Monroe
District: Palm Beach
Completed applications should be submitted by
September 20, 2004 to your regional CARD center. Please
contact you regional CARD for questions about the program.

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