NAPSEC Member Profile Update After entering the name of your program, include any information that needs to be added or changed on your program profile in the fields below. You may leave fields blank if they do not require changes. Your previous information will be inserted into the blank fields. For members that have not yet filled out their profile sheet, please complete this entire form.
After entering the name of your program, include any information that needs to be added or changed on your program profile in the fields below. You may leave fields blank if they do not require changes. Your previous information will be inserted into the blank fields. For members that have not yet filled out their profile sheet, please complete this entire form.
* Full name of program
Street Address
City/State/Zip
* Phone
Fax
Web Site
Email for program
* Contact email for NAPSEC
Director/President/ Principal of program
NAPSEC contact name
Year founded
Date your program joined NAPSEC
Disabilities Served (Please do not abbreviate)
Program Description
PROGRAM PROFILE
Enrollment
Age range served
Age at admission
I.Q. range served
Program
Offered
Staff to Client Ratio
Program Length (in days)
Current Enrollment
Total Capacity
Total # Employed
Admission Procedures
Accreditation (NCASES, COA, JCAHO, etc)
Funding approval (State and/or agency name)
Additional comments
or clarifications
Thank you.
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