Thank you so much for requesting a free copy of Autism Empowerment's Autism and Scouting Leadership Training Kit Manual (electronic version in PDF format).

Our 501(c)3 non-profit is dedicated to making life more meaningful for children, teens and adults on the autism spectrum as well as their families, friends and care providers.

We want to do the best possible job we can serving you with this material. As such, we do need the full order form filled out. Once we get the request, please allow 48 - 72 hours and we will then send you a free pdf version of the Kit. THANKS!

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* 1. Full Name

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* 2. Type of Unit?

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* 3. The scouting position of the person requesting the kit (if applicable)

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* 4. Unit name and Number?

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* 5. City, State and Zip code of Unit?

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* 6. How many youth in your unit?

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* 7. Approximately how many youth with an Autism Spectrum Disorder (ASD) are in your unit? (includes Autism, Asperger's syndrome and Pervasive Developmental Disorder not otherwise Specified - PDD-NOS)

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* 8. Phone number of the person requesting the kit?

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* 9. E-mail address of the person requesting the Kit? (This is the email address that the PDF copy of the kit will be sent to.)

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* 10. Would you like your unit to be listed on the Autism Empowerment website as a unit that has received this Leadership Training Kit and is open to working with individuals who are on the autism spectrum? Your unit is also open to promoting Acceptance of All Abilities.

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* 11. If yes to question 10, please confirm unit information to be listed on the website.) Standard information collected includes: Unit Name, Unit Number, Type of Unit, Unit Leader's Name, Unit's Meeting Place Address, Unit Contact Person, Unit Contact Person's Phone Number & Email Address, Unit Social Media Information (website, Facebook, Twitter, etc), anything else you'd like to share about your unit with website visitors.

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* 12. By agreeing to receive the Autism and Scouting Leadership Training Kit, you agree to be open to taking part in follow-up studies, follow-up contact and/or feedback surveys. (You can opt out later if you wish.)

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