The Autism Friendly Communities Initiative is a program through the Autism Society of Greater Wisconsin and its local affiliates. The program’s overall goal is to increase the quality of life for those affected by autism by improving community understanding of autism and improving access to inclusive experiences, programs, and events.

The purpose of this form is for a business/organization to apply to become an Autism Friendly Communities Partner. Applications will be reviewed by the Autism Society of Greater Wisconsin's Program Services Committee on a monthly basis. 

This program is currently being piloted in the Wisconsin counties listed below. Please check to make sure your business is located within one of these counties before applying. We hope to make this program available to all of our  53 county service area soon. 

Fox Valley Affiliate: Outagamie, Winnebago, Calumet, Fond du Lac, and Waupaca Counties
Central Wisconsin:  Clark, Forest, Langlade, Lincoln, Marathon, Oneida, Portage, Price, Taylor, and Wood Counties

Please contact Kirsten Cooper with questions related to this form: kcooper@autismgreaterwi.org or 920-215-3303. 

You can expect a confirmation of your application within one week of submission.

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* 1. Name of Business/Organization

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* 2. Address of Business/Organization
(Must be located within Autism Society of Greater Wisconsin's Service Area)

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* 3. Contact Person at Business

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* 4. Website of Business/Organization

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* 5. Please indicate all that qualifies the business as being Autism Friendly (at least 2 required):

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* 6. If your business/organization has received training from the Autism Society, what was the date of the training and who was the presenter?

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* 7. Please provide up to four specific examples of how this business is Autism Friendly:
(At least 2 examples required)

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* 8. Other considerations for the committee: 

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* 9. Contact Information from Person Submitting Form, if different than contact person listed above. 

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* 10. Part of becoming an Autism Friendly Communities Partner means being open to feedback and quality improvement. Is this business committed to hearing and responding to feedback from the autism community?

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