Interested in being featured on our social media platforms?
Fill out this quick form.

Here at Autism Speaks we are dedicated to increasing acceptance and understanding of people with autism. One of the many ways we do this is by sharing stories of autistic people from a variety of perspectives. We want the world to know that every person on the spectrum is unique and has their own story to tell.

Question Title

* 1. Email address

Question Title

* 2. Name of autistic person/person with autism

Question Title

* 3. Age of autistic person/person with autism

Question Title

* 4. Submitters name (Please skip if you are the autistic person/person with autism to be featured)

Question Title

* 5. Relationship to the autistic person/person with autism being featured

Question Title

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

Question Title

* 7. Where do you live?

Question Title

* 8. Age of diagnosis

Question Title

* 9. Short paragraph about the autistic person/person with autism. We want you to feel empowered to share your story! We welcome anything including but not limited to: your/their proudest accomplishments, struggles you/they have faced, an experience that others could learn from or relate to, favorite memories, how your/their autism is unique, advice to the autism community. For inspiration, please check out examples from our Instagram: https://www.instagram.com/autismspeaks/

Question Title

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

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 11. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 12. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 13. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 14. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

Question Title

* 15. Optional additional photo

PNG, JPG, JPEG file types only.
Choose File

Question Title

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

Question Title

* 17. 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.

T