Enrollment Questionnaire for Social Skills Camps 2024
These camps are for children ages 6 through 10. 

*Please note these camps are designed, planned, and geared to benefit children working on social skills/social communication (i.e. perspective taking during communicative conversational interactions, turn taking in conversation, thinking about what others are thinking, etc.). 

Psalm 145:9 ~ The Lord is good to all, and His tender mercies are over all His works. 

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What do these camps look like? 

The Biola Social Skills camps involve approximately 30 children with autism (ages 6-10 years old) and 30 typically developing age-matched peers. Speech and language assessments will be given during the week of July 16th, 2024, and camp will take place for 5 days (July 22nd - 26th, 2023 from 9AM - 11:30AM or 1PM-3:30PM.) 

These camps are run through our Speech and Language Clinic, and will take place on the Biola campus.  Our 30 graduate level Speech and Language Pathology (M-SLP) students plan and carry out the week's activities, and 4 licensed and certified speech-language pathologists will be present for supervision of the graduate clinicians. 

What is the purpose of these camps? 

This is a clinical practicum for the students, which means the graduate clinicians earn clinical hours toward their required hours for graduation and certification with the American Speech Hearing Association (ASHA) as Speech Language Pathologists. 

The graduate students are paired 1:1 with a camper, and through structured fun activities, they work to address individual communication goals. Our graduate students collaborate and communicate with their camper’s parents during the camp and provide written assessment at the beginning and progress reports at camp conclusion. 

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Please take some time to fill out this intake form, and we will get back to you via email or phone. 



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Does your child have ASD (autism)?
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When was your child diagnosed with ASD? 
Child's name
Gender
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Date of Birth
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Age
Home address
 *
Parent/Guardian Names
Phone number *
Email address *
What is a good emergency contact number?
Emergency contact relation to the child (mother, father, etc.)
Will you be available for a 1-2-hour assessment on Tuesday 7/9, Wednesday 7/10, or Thursday 7/11? If there is a date, you are NOT available, please specify.
How does the child communicate? (Verbal, gestures, AAC?)
How does your child verbalize wants and needs, thoughts and feelings, participate in conversation, etc.? Please be as specific as possible.
What social skills would you like your child to work on? This can be related to IEP goals. 
Does your child receive Speech Therapy? If so, where and how often? 
What other therapy does your child receive? (If not applicable, input n/a.)
Is your child at risk of eloping (running away)? We ask this for your child's safety as Biola is an open campus in some areas.
Does your child have any allergies or food that he/she cannot eat?
How did you hear about the Social Skills Camp?
The clinic is a student practicum for our students. It may be used as a research study meaning that the professors and students will be taking data on the activities the children participate in as well as on the gains of each specific child. Knowing this, would you still like your child to participate? 
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You will be notified if your child may be indicated for participation in the program. You will need to turn in all required paperwork which includes signed waivers, case study (optional), and previous reports (optional).
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