Autism Aspergers Advocacy Australia (known as A4) is for people affected by (or interested in) autism spectrum disorder (ASD) in Australia. A4 is about systemic advocacy; it is not about individual advocacy (simply, we do not have the resources). A4 is run by volunteers. When we are able to, we send out newsletters to our members.

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Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

A4 Membership

Title

If you have a title (such as Lady, Sir, Baroness, Mr, Mrs, Ms, Dr, Professor, Reverend ... and want A4 to use it when we address you), please enter it here ... or just leave it blank. The content of this field is kept private and will not be shown publicly.

Given name *

Please put your given name (first name?) here ... You can put multiple names here is you wish, for example "Mary & Bob" The content of this field is kept private and will not be shown publicly.

Family name *

Family name The content of this field is kept private and will not be shown publicly.

family name shown first

Sometimes, family name come first in names some Asian cultures (most European names have their family name last). If your family name comes first then check this box. The content of this field is kept private and will not be shown publicly.

ASD interest

I have an ASD diagnosis

check rhis box if you have a formal ASD diagnosis The content of this field is kept private and will not be shown publicly.

my birthday (ASD only)

Day

Month

Year

If you are diagnosed with ASD, please tell us you birthday ... so we can calculate your age (we only need the month and year, or just the year if you prefer). The content of this field is kept private and will not be shown publicly.

I am a parent of a child/children with ASD

The content of this field is kept private and will not be shown publicly.

number of children

Do you have children? How many children do you have? The content of this field is kept private and will not be shown publicly.

Birthday of oldest child with ASD

Day

Month

Year

What is the birthday of your oldest child formally diagnosed with an ASD (we ask for birthday rather than age to avoid needing to update the value; we only want the month and year - not the day)? The content of this field is kept private and will not be shown publicly.

Birthday of youngest child with ASD

Day

Month

Year

What is the birthday of your youngest child with ASD? This is only needed if you have more than one child with ASD. The content of this field is kept private and will not be shown publicly.

There are children in my family with ASD

Check this box if there are children in your relatively close family with an ASD. You may be a sibling, aunt, uncle, grandparent of a child or children with ASD. The content of this field is kept private and will not be shown publicly.

I work voluntarily with people with ASD

If you spend a significant amount of time each week (5 or more hours) working with people with ASD on a voluntary basis. The content of this field is kept private and will not be shown publicly.

professional interest

please indicate if you work professionally with children with ASD ... The content of this field is kept private and will not be shown publicly.

ASD professional

Please indicate if you are a professional who specialises in working with people with ASD The content of this field is kept private and will not be shown publicly.

employed in ASD service/support organisation

you work in an organisation that provides services or support for people with ASD The content of this field is kept private and will not be shown publicly.

Contact

Address 1

The first line of your postal address ... The content of this field is kept private and will not be shown publicly.

Address 2

The second line of your address, if any ... The content of this field is kept private and will not be shown publicly.

Town/Suburb

Town or suburb The content of this field is kept private and will not be shown publicly.

State *

Your state (if in Australia) The content of this field is kept private and will not be shown publicly.

postcode *

The content of this field is kept private and will not be shown publicly.

Country *

The content of this field is kept private and will not be shown publicly.

Telephone (Home)

The content of this field is kept private and will not be shown publicly.

Telephone (work)

The content of this field is kept private and will not be shown publicly.

Mobile

The content of this field is kept private and will not be shown publicly.

Locale settings

Time zone

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