Support Group Registration Application

In an effort to increase the number of support opportunities available to families affected by autism across Greater Wisconsin, the Autism Society of Greater Wisconsin is pleased to offer a path for support groups to register with the Autism Society of Greater Wisconsin.

Prior to completing this application, please make sure to:

Review the Autism Society of Greater Wisconsin's 53 county service area. Only support groups in these 53 counties are eligible to apply.
Review the full registration process including, eligibility, expectations, and benefits.

Question Title

* 1. I have reviewed the Autism Society of Greater Wisconsin's service area and confirm that our support group is located within the 53 county area.

Yes

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* 2. Support Group Contact Information

Name *

Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

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* 3. Support Group Name

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* 4. Location of Support Group Meetings

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* 5. Purpose of Support Group

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* 6. How long has this group been meeting?

We haven't had a meeting yet

Under a year

One year or longer

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* 7. Other relevant comments:

Thank you for your interest in becoming an Autism Society of Greater Wisconsin Registered Support Group. A staff member will contact you within one week of submitting this form. If you have any questions in the mean time, please contact Kirsten Cooper at kcooper@autismgreaterwi.org or 920-215-3303.