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Request for AAC App Inclusion Form
Request for AAC App Inclusion Form
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A+
"
*
" indicates required fields
Date
*
MM slash DD slash YYYY
1 - App Info
App Name
*
App Version
*
2 - Company
Support
Last Update
Frequency of Updates
Training Support / Online Resources
3 - Privacy
Data Collected
Linked to User
Not Linked to User
Is there a privacy policy?
Yes
No
4 - Cost
Type of Cost
One Time
Subscription
In-App Pirchase
Actual Cost
5- Type
Type
Face-to-face
Written Communication
Both
If face-to-face, what is the language architecture (i.e., WordPower, LAMP, categories and phrase based, etc)
If face-to-face, what is the language architecture (i.e., WordPower, LAMP, categories and phrase based, etc)
Suited for:
Adults
Children
Both
6 - Primary Representation
6 - Primary Representation
Symbol Based
Text
Word Prediction
Visual Scene
7 - Access
Access Type
Direct Access
Alternate Access
If alternate access,
Eyegaze
Switch
Joystick
8 - Languages
Language
English
French
Other
9 - What apps have you tried
10 - Why this app? What does it offer that other apps don’t?
Name
This field is for validation purposes and should be left unchanged.
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