Interested in being featured on our social media platforms for pride month?
Fill out this quick form!

One of the many ways we help increase acceptance and understanding of people with autism is by telling authentic stories. This June we are looking to highlight stories from autistic people who identify as part of the LGBTQ+ community. We want the world to know that every person on the spectrum is unique and has their own story to tell.

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* 1. Your Name

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* 2. Your age

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* 3. How you identify as a member of the LGBTQ+ community. (Gay, Bisexual, Lesbian, Queer, Trans, Non-Binary, etc.)

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* 4. Your pronouns

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* 5. Instagram Handle ex: @autismspeaks. If you do not have an Instagram, type N/A.

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* 6. Where do you live?

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* 7. Tell us about yourself and your experience with autism as a member of the LGBTQ+ community. This could be anything including but not limited to:

-Your coming out story
-How autism impacts your experience as an LGBTQ+ person
-Struggles you face or have faced as an LGBTQ+ person
-Why is Pride Month important to you

This information will help create the caption for your posts.

*It may be easier to type this elsewhere and paste in your final version*

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* 8. What advice do you have for other autistic people in the LGBTQ+ community?

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* 9. Please upload as many of your favorite photos as you would like that pair well with your story. The more photos, the better.

*Please do not submit collages or photos with graphics.*

PNG, JPG, JPEG file types only.
Choose File

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* 10. Optional additional photo

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* 11. Optional additional photo

PNG, JPG, JPEG file types only.
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* 12. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

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* 13. Optional additional photo

PNG, JPG, JPEG file types only.
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* 14. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

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* 15. Would be interested in being approached for media opportunities

(Check all that you would be interested in.)

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* 16. Are there any LGBTQ+ organizations that have offered helpful resources along your journey?

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* 17. Email address

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* 18. By checking the box below, I give Autism Speaks permission to share the story and images provided in this form on their website and/or social media platforms. Autism Speaks will not share any information or images in advertisements without further permission.

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