Submit Details for AutismSupport.in
If you are a NGO, Trainer, Service Provider that provides Autism related services and support in India - Please use the form below to submit your details to us and we will add it to the site post verification. We will send you a link to the final post on the website.
Contact Person Name *
Name of the Contact Person from the Organization providing us with the details. This will help us reach out to you for any further clarifications if required.
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Contact Person Email Address *
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Contact Person Phone Number *
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Organization/Trainer Details
This section will cover Questions that will help us understand your work better.
Whom do you work with or work for? *
Your target audience. Some work with children, Others with parents. Tell us about whom you work with.
Yes
No
Not Applicable
Autistic Adults
Autistic Children
Parents
Additional Info about whom you work with
Can you give us some more details? Like age groups if any, etc. The more specific detail you can provide us, the easier it will be for people trying to find you.
Your answer
What are the Key and important Services you provide? (You can select multiple) *
This will help us organise your work into a category so that visitors can find you easily
Required
Activities: Tell us more about the activities that you undertake *
What does a day look like in terms of work for your team
Required
Activities: Write more if you feel the above choices have not covered your work
Your answer
How do you do it?
We would love to understand how you make all this happen! This will help us understand your model and explain it to visitors on the site
Yes
No
Not Applicable
Do you have an Office/School/Building
Do you work with the Government (Advocacy, Lobbying, etc)
Do you do Research and Development (R&D) Activities
Please tell us more about your Model of Work *
How do you create Impact and bring about a change in People's Lives
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Tell us about your Team/Board/Founder? *
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Organization Contact Details
Organziation Contact Email Address *
This is what Visitors to the Site will use to connect with your Organization/You
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Office/Mobile Phone Number(s) *
Your Office/Mobile Phone number so that Visitors can call you for an appointment
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Complete Address *
Please provide the Detailed Address
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Nearby Landmarks/Driving Instructions
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Working Days *
Required
Daily Working Hours *
Note: Please do mentioned Half Working days if any
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Website
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Facebook Page
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Twitter
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Youtube
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Any other info that you think will be useful to Visitors
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Feedback on this Form
Your feedback will help us make this form that you just filled better. So please do help us with your feedback.
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