Contact Us | Autism Society of NC

Name*
Prefix First Last
Email*
Phone
Address
Street Address Address Line 2 City State
Zip Code*
County*
Please check all that apply. I am a:
- Parent of a child with autism
- Sibling or family member of someone with autism
- Individual with autism
- In a relationship w someone with autism
- Professional or direct support worker
- Person who prefers to receive information in Spanish
- Other
Check if you would like to stay informed:
- Add me to your mailing list
- Send me digital copies of the Spectrum (2x/year)
- Add me to your email list
- Add me to the legislative/policy issues email list
- Add me to your lists for Spanish speakers
- I would like to learn more about volunteer opportunities
I am concerned about policy issues because I am a
I want to help with policy efforts by (check all that apply)
- Writing an email
- Writing a letter
- Making phone calls
- Writing a letter to the editor
- Getting other people involved
- Meeting with policymakers in their districts
- Attending advocacy events in Raleigh
- Getting training on being an effective advocate
- Joining or starting an Autism Society of NC chapter in my community
I can also help the Autism Society of NC's policy efforts in the following ways:
I know the following people that may be able to help with policy issues
Do you have a question or comment?
- Yes
Questions / Comments
How did you learn about us? (Check all that apply):
- email
- web search
- social media
- friend
- print article
- radio/TV
- ASNC staff referral
- ASNC chapter referral
- other organization