You may download the applications necessary to begin the application process for the Ely Center, a center that focuses on social communication skills and social pragmatics for children and young adults.
Please download and complete all the forms in the packet. Once completed, please return them to the Needham office. When we receive the paperwork, we will contact you to schedule an intake interview. The purpose of the interview is for group placement only. We ask that any related information or materials be forwarded to us prior to the interview as it aids us in the placement process. At the Ely Center, our goal is to create homogeneous groups where all the clients feel safe and comfortable. There is a $90.00 non-refundable administrative/interview fee. Please make the check payable to The Ely Center.
Please download the 5 forms listed below. Please be sure to sign all of the paperwork. The payment agreement needs a signature and initials next to the insurance clause.
- Wish List
- General Case History or Young Adult Case History 18+ (choose one)
- Payment Agreement
- Audio Video Release
Step 1: download forms
Step 2: complete forms, payment agreement must be signed and included with forms
Step 3: compile forms with most recent neuropsychological report, IEP, or other significant evaluations
Step 4: include a photo of the applicant (to be kept in our file only- we can also casually take a snapshot during the interview)
Step 5: include a $90.00 check payable to The Ely Center and send all to:
The Ely Center
400 Hunnewell Street
Needham, MA 02494
Staff will contact you to schedule an interview when your forms and the administrative fee are received.
*Summer camp applicants, please refer to the summer camp info sheets for fees and additional documentation needed. Clients new to Ely Center programming should fill out both wish list and case history forms. For returning clients, please submit an updated wish list.