Communication Form

Introduction

Your participant’s application indicated that a communication device or ASL is used to communicate. For your participant to benefit the most from the interview portion of the event, it is important to give detailed information about her communication. The information you provide will be explained to the judges. Each participant will have approximately 3 interviews conducted by three different judges lasting no longer than 2-3 minutes (per judge). The complete interview process will take about 10 minutes.

The judges enjoy getting to know the girls and interacting with them during the interview. They want the experience for the participant to be the best possible for her. Any information you provide will make the interviews more successful. Remember the judges do not know your daughter as you do, so any information provided is helpful to them.

I am asking that you take a moment and complete the questionnaire about the Interview portion of the Event.

Instructions

1. Choose Option 1 or Option 2

2. Brainstorm with your participant to develop questions that the judges can ask

3. To assist you in forming the questions, please refer to the event overview form that you completed for the participant. Information on this form included: Name, Age, Special Qualities, Hobbies, Future Goals and Ambitions. Example questions based on this form:

How old are you and when is your birthday?
What do you want to do when you grow up?
Do you have siblings? If yes, tell me about them.
What is your favorite hobby?
What grade are you in school and what is your favorite class?

Additional questions you might consider:

Do you have any pets at home? If yes, tell me about them.
What are some of your favorite things to do with your friends?
Tell me what your favorite color is. Why is it your favorite color?
What is your favorite part of being at school or work?
If you could visit any place, where would you visit and why?

IMPORTANT NOTE: These are just some examples to help you develop questions. You may choose other questions that your participant may want to answer. Our goal is for a successful experience for the participant. Please see http://www.il.missamazing.org/saturday-overview/ for more information.

4. Program the desired questions and answers into the device before the event. The questionnaire you complete below will be with the judges for the actual interview.

5. Please provide answers to the chosen questions so that this information may help the judge interact with the participant.

6. Be detailed with any comments. The more we know, the better the experience.

Participant's Name *

First Name Last Name

Age Division *

Type of Assistive Technology or ASL *

Select an Option: *

Option 1: Each judge asks specific questions Option 2: Allow judges to randomly choose from a list of specified questions

Do questions need to be asked in the order they are written? *

Yes No

Does the judges' order need to be a set order (Judge 1, Judge 2, Judge 3) OR random (i.e. Judge 2, Judge 3, Judge 1)? *

Set order Random

Will the answers be programmed into a communication device? *

Yes No

Does the participant have eye contact while speaking? *

Yes No

Will the participant need to be prompted to answer? *

Yes No

Additional Comments

Question 1 *

Answer 1 (Optional)

Question 2 *

Answer 2 (Optional)

Question 3 *

Answer 3 (Optional)

Question 4 *

Answer 4 (Optional)

Question 5 *

Answer 5 (Optional)

Question 6 *

Answer 6 (Optional)

Question 7 *

Answer 7 (Optional)

Question 8 *

Answer 8 (Optional)

Question 9 *

Answer 9 (Optional)

Question 10 *

Answer 10 (Optional)

Question 11 *

Answer 11 (Optional)

Question12 *

Answer 12 (Optional)

Question 13 *

Answer 13 (Optional)

Question 14 *

Answer 14 (Optional)

Question 15 *

Answer 15 (Optional)

Question 16 *

Answer 16 (Optional)

Question 17 *

Answer 17 (Optional)

Question 18 *

Answer 18 (Optional)