Worldwide Outreach Sponsorship Program
As our mission mandates, we are not just giving "lip service" to changing the world for the better.  We realize exchange rates and global economies of scale are at play in international areas and want to ensure that people everywhere have the opportunity to attend the "World Autism Summit 2024".  For this reason, we are offering a limited number of scholarships and partial scholarships for individuals in some geographic areas, based on these factors. Feel free to apply if you think this applies to you.
Sign in to Google to save your progress. Learn more
Email *
Applicant Information
First name *
Last name *
Email *
Phone number (include country code)
Country of residence *
City or town *
Time Zone
Financial Information
Annual Household Income (in USD) you can use https://www.xe.com/ to help you convert your currency to USD:
 *
How does the current exchange rate and local economy impact your ability to afford the conference?
 *
Do you have access to any financial aid or sponsorships from local organizations?
 *
If yes, please provide details
Conference Attendance
Have you attended the World Autism Summit before?
 *
If yes, which year(s) did you attend?
Why do you want to attend the World Autism Summit 2024?
 *
How will attending the summit impact your work or life in your community?
 *
Sponsorship Request
Type of Sponsorship Requesting
 *
If partial sponsorship, what amount are you able to contribute?
Any additional information or special circumstances you would like us to consider?
 *
I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that submitting false information may disqualify me from receiving sponsorship.
 *
Signature (your full name) *
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms