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Autism Friendly Community

Help make McLean County an autism-friendly community — one business, one organization, one person at a time

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Tell us how your organization or business is autism friendly

Business/Organization's Information

To begin, please indicate how you are associated with the business/organization.

owner
manager or supervisor
employee/staff
other (e.g., board member)

Name of the business/organization

What type of organization is it?

education institution (school/college/university)
nonprofit/municipal
for-profit business
other

Survey Participant's Information

Participant's Name *

Participant's Email Address *

What does this business/organization provide? (e.g., services, support, products, etc.)

How is this business/organization autism friendly?

Check the box(es) to indicate the ways this organization is autism friendly (check all that apply):

Welcome me —

Strives to help its staff understand autism
Helps people to be autism aware
Serves and supports people with autism and/or autism organizations
Creates social and/or civic engagement opportunities for people with autism
Provides financial support to people with autism and/or autism organizations

Learn with me —

Provides educational opportunities to people with autism

A Place for me —

Provides housing or residential supports
Helps create safe neighborhoods
Provides accessible transportation

Wellness for me —

Provides healthcare for people with autism
Supports wellness opportunities

Work with me —

Offers employment opportunities for people with autism
Helps creates meaningful work for people with autism

Recreation for me —

Offers recreation and leisure opportunities for people with autism

Describe specific ways the business/organization provides autism friendly services, support or accommodations.

Business/Organization Contact

Provide the name and contact information of a primary representative of the organization/business described in the survey:

Name

Title/Position

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Autism McLean may want to contact you for further information about your recommendation. Do you agree to the contact?

Yes
No

Autism Friendly Community logo items for Business and Organization

If you are with a business or organization, please indicate any Autism Friendly Community (AFC) items or information you would like to receive.

AFC jpeg for my website
AFC window cling

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