This request is for a child enrolled in the following program(s):
Name of Community Service Worker (if applicable)
Phone Number of Community Service Worker:
Current Communication Skills – Expressive Language
Please comment on child’s literacy skills (exposure to and interest in written language, sight words, etc.)
Please describe any previously introduced augmentative communication systems (ie. light tech) and their outcomes:
Describe the experience/exposure the child has had with computers or technology in general:
Implementation Plan:
iDevice Package Requested
*Please note all new devices will be automatically set up with our remote management system unless an iCloud backup is available*
Case:
Colour of Case (for Ultimate or Seymac only*)
Funding Source (Please only check one if you know who the funder will be)
Max file size 10MB.
Upload failed. Max size for files is 10 MB.
Please ensure your letter includes the following:
Max file size 10MB.
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**Please ensure you have included your letter of support and the additional signature pages**
Thank you! Please contact us at
mary-alex@oarc.ca if you've had any dificulty of have any questions.