OAR | Professionals » Post Your Research Announcement

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Post Your Research Announcement

All fields are required.

Requesting Person/Agency

First Name:

Middle Initial:

Last Name:

Degrees/certifications:

Position/title:

University, institute, or research center

Street address:

City:

State:

Zip/Postal Code:

Country:

Web site URL:

Contact person:

Phone number:

E-mail address:

Title of research study:

Purpose of study/research:

Abstract/description:

Location of researchers/study if different than requestors' address:

Participants needed:

Persons with ASD
Infants and young children (birth to three years
Children over three (age range)
Adolescents (12-17)
Older Teens/young adults (18-22)
Adults (23 and up)

Parents
Siblings
Other relatives
Educators and other service providers
Other

If Other:

Diagnosis:

Gender specification:

Type of participation:

IRB Human Subjects Approval:

If No, please explain:

Dates of research participation:

Begin: ,
End: ,

Frequency:

If Other, please specify:

Additional details: