Caregiver Night Out
Thank you for your interest in volunteering with us this fall semester! We are so excited to welcome volunteers to our program. Caregiver Night Out is a respite event for families of children with autism and their siblings. It is the first Friday of every month and volunteers will arrive at 4:30 and can expect to leave by 8:30 To help us plan, please provide us with information about yourself.

If you have any questions, don’t hesitate to email us at
First and Last Name *
Email Address *
Your phone number *
To work directly with our clients/participants, who all are individuals with disabilities, we are encouraging everyone to take the COVID-19 Vaccine. Have you received the Covid-19 vaccination? *
Which month are you interested in volunteering for? We will email you ahead of time to confirm. You may select more than one event. *
Emergency Contact Name *
Emergency Contact Phone Number *
Previous experience is not required and we will provide you training on-site. However, we’d like to get a sense if your background. Please tell us how much experience or expertise do you have in the following areas *
No Experience
Some Experience
Lots of Experience
Working with individuals with autism or intellectual disabilities
Leading games or activities designed for kids
Implementing behavior analysis or other theraputic interventions
Supporting an individual's adaptive needs (e.g. toileting, eating, etc.)
Communicating with an individual who does not use spoken language (e.g. speech generating device, picture exchange, sign language)
Redirecting a child engaging in challenging behaviors
Working in a respite event or extra-curricular activity environment
Please briefly describe your previous experience working with kids or adults with autism or intellectual disabilities:
Are you volunteering with an organization or group? If so, which one? *
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