Thank you for participating in our Direct Help Program. Our mission is to provide services, medical necessities, and educational tools to families who live in Central California that are affected by Autism. Please fill out this application in its entirety printing clearly. Illegible applications will not be considered.
The information included in this application will remain private and confidential and is used for Foundation use only.
Child with Autism (if requesting aid for more than one child, please fill out a separate application):
We are always looking for amazing people to join our organization and volunteer their time. From events all over to simple fundraisers, we always have a need for more volunteers.