Apply for Services
Please provide us with the following information so we can review your service request.
All information you enter here is kept strictly confidential and will only be reviewed by the board of Autism Radio.
Some pre-qualifying information to be aware of before filling out the application:
• A double income family's gross income shouldn't exceed $70,000 per year.
• A single income family's gross income shouldn't exceed $40,000 per year.
• A 2 year waiting period is imposed before re-applying for additional services given.
Note: We also require a letter from a doctor for your child's diagnoses and a copy of last year's full Tax Return.