How to Join

We appreciate your interest in becoming a member of the Global Autism Collaboration. Our mission is to network and collaborate with autism organizations worldwide to generate necessary legal and social change to deal with the global autism health crisis. 

If you prefer to complete a hardcopy application form, please (1) download the pdf file, (2) fill out the form, and mail the complete application to: Application, Global Autism Collaboration c/o ARI, 4182 Adams Ave., San Diego, CA 92116, U.S.A.

Please find the application below. Feel free to use as much space as you feel necessary to
answer the questions.         

APPLICATION FOR MEMBERSHIP:

Organization name:

Your name:

Title:

Address:

City:

State:  

Zip:  

Telephone  

Email

Website

Your organization is domiciled in which country?

The people whom you serve are:
regional national international

Your organization is: (check all that apply)

non-profit
non-profit, charity
for-profit, govt. primarily lobbying
for-profit
Other, please explain:

If your organization is a govt. approved non-profit,
please provide your federal id number:

or
no federal id number

4. Your organization has been in existence since:

5. Your organization serves the autism community by:

6. Your organization serves approximately how many people?

Please clarify in what way (for example, membership, newsletter subscribers,
daily website hits, grants, etc.).

7. Your organization’s mission statement and goals are :

8. Please describe how your organization will further or has already furthered the mission of the Global Autism Collaboration, either directly by working with member organizations or indirectly.

9. List all board members and/or key personnel in your organization, and note those directly affected by autism and their relationship to the affected individual (e.g., Bill Smith, secretary, father of two boys with autism).

10. List other considerations you would like to bring to the attention of the membership committee.

11. Best contact information for you:

By submitting this form, you agree to GAC’s Structure and Policy.

 

Thank you for your application and for helping children and  families affected by autism!