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EligibilityCriteria

You must:

»Identify asbeingon theAutismSpectrum,includingAutisticDisorder,Asperger’sSyndrome,PDD-NOS,oranotherAutismSpectrumDisorder

»Beacurrentstudentatacollegeoruniversitywith atleastone yearleft tograduation

»Live intheU.S.mainland(50statesandtheDistrict of Columbia),Puerto Rico,or Canada

ApplicantsforAutismCampusInclusion(ACI)should haveastrong interestin civilrightsandactivismfor people with disabilities,andhavepersonalgoalsforincreasingtheirown self-advocacyandleadershipskills.

AcceptedapplicantswilltraveltoWashington,DCandparticipateintheACIadvocacytrainingbetweenMay30andJune6,2015.Thetrainingcoverstravelandlodgingexpensesforallparticipants.Students are responsible for purchasing their meals.

Theskillsparticipantslearn canbetaken backtotheir homecollegecampuses.Participantswilldevelopgoals,tools,andstrategiesfor systems change ontheircampusesandintheircommunities,andreceive supportandtechnicalassistancein implementingtheirgoalsfollowingthetraining.Participants’ advocacygoalswillbedesignedto benefitautistic collegestudentsandotherstudentswithdisabilities.

Ifyoufeelthatyoumeetthe criteriaforthistraining,pleasefilloutthefollowingapplicationandsavethefile.Submissions,includingcompletedanswerstotheessayquestions, areduebyFebruary15,2015.Completedapplicationscanbe senttoNataliaRiveraMoraleswiththesubjectline“2015 ACIApplication” at .

Youmay submit responses in aseparate word document if youfeel you need more space.Letus knowif youcannotaccessanypartofthisapplication.We canprovidecontentinalternativeformats.For anyaccessconcerns,pleaseemail Natalia Rivera Morales at .

Madepossible withsupport from

Application Form
ContactInformation
FirstName: / LastName:
StreetAddress: / Apt/Suite:
City: / State:
ZipCode: / Phone:
E-mail:
BackgroundInformation
Whatcollegeoruniversitydoyouattend?
Whatyearareyoucurrentlyenrolled?
Whatisyourcurrentmajor?
DoyouidentifyontheAutismSpectrum? / Yes / No
Willyouneedfinancialassistanceformeals? / Yes / No
OptionalDemographicInformation
Whatisyourrace/ethnicity? / Whatisyourage?
Whatisyourgenderidentity?

1.WhatareyourexperienceswithbeingAutisticandintheAutisticcommunity?

2.Whatdoyou knowabouttheAutisticSelfAdvocacyNetwork,theneurodiversitymovementandthebroaderdisabilityrightsmovement?

3.Whatpoliciesorissuesmattermosttoyou asanadvocate?

4.Whatorganizations andpeopledo you mostadmire fromtheautismanddisability

rightscommunities?Why?

5.HowdoyoufeelthediversityoftheAutismSpectrum isreflectedinyouradvocacy?

6.Howwould theACIproject facilitateyourownself-advocacyandthe self-advocacyoffellowautisticand disabledstudentson yourcollege campus?What systemschangegoalsdoyouintendtopursueon yourcampusorin yourlocalcommunity?Bespecific.