The Autism Society of Nebraska is pleased to provide grant opportunities to be used to educate individuals, family members and caregivers of individuals affected by autism. The Individual Conference Grant offers up to $110 to be used for autism specific conferences, training, or seminars.  

Please read the following carefully and complete the application.

Eligibility Requirements:
-  Be an individual with ASD, a family member, or a caregiver with a role in the care of an individual with ASD
-  Live in the state of Nebraska
-  Be a member of the Autism Society of Nebraska


If you are not a current member:  By completing this application you will automatically become a member of the Autism Society for 2019 and are agreeing to the terms of membership.  Membership is free for the duration of 2019.  For more information on ASN memberships, please go to http://autismnebraska.org/membership/

Please note that funds for individual conference grants typically run out quickly.  Please submit your application as early as possible.

Only one Conference Grant may be awarded per household per calendar year.  Grant funds may only be used for conference registration.  Funds may only be used for autism related conferences occurring within 6 months of the application date.  Erroneous or incomplete applications may negate award.  You will receive communication from us via email you provide within 30 days of the application submission.

If you have already registered and paid for the conference:  Proof of registration and payment is required before we can review your grant request.  Please email this proof to autismsociety@autismnebraska.org with the subject line "Conference Grant Registration" within 48 hours of submitting this application.

If you have not already registered for the conference:
We will communicate payment options with you upon award.  Proof of registration and payment via email, fax or mail will be required.

For the Nebraska ASD Network State Conference, please wait to register until you hear back from us with instruction.  

In order to help us demonstrate the importance of this program to our donors, we ask that you please provide a photo or written thank you demonstrating how these funds helped meet the needs for you and your family. Please send them to Autism Society - Conference Grant, PO Box 83559, Lincoln, NE 68501-3559.

Grant awards are at the discretion of the Conference Grant Committee and the Board of Directors of the Autism Society of Nebraska. Awards are based on eligibility, position, merit, and number of individuals benefiting from the training. Any deviation of criterion or process is at the discretion of Autism Society of Nebraska Board of Directors and will require a majority vote. Completion and submission of the grant application to meet the regular registration deadlines, including Board review period, is entirely the responsibility of the applicant.

Any questions should be directed to the Autism Society of Nebraska at
1-800-580-9279 or autismsociety@autismnebraska.org

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* 1. Name 

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* 2. You are a(n)

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* 3. Address (check will be mailed here if applicable)

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* 4. Email (this is how you'll be notified)

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* 5. Primary Phone Number (xxx-xxx-xxxx)

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* 6. Kind of Phone

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* 8. Conference Title

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* 9. Conference Date(s)

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* 10. Is there a website for this conference?

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* 11. Have you already registered for this conference?

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* 12. Have you already paid for this conference?

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* 13. Dollar Amount Requested ($110 or less)

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* 14. Available Payment Options Offered by Conference

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* 15. Describe the setting in which you work or will be applying this education (i.e. one to one or with groups of children, school or home, etc.).

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* 16. How do you feel this conference will help you?

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* 17. Other relevant information

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* 18. By completing this application, I am aware I will become a member of the Autism Society of Nebraska for 2019 at no cost.

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* 19. I’ve read the above guidelines for the Individual Conference Grant and agree to the terms.

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* 20. Electronic Signature

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