Grants

Available to ASNEW members residing in Northeast Wisconsin.

ASNEW Grant Instructions & Application

ASNEW offers four grants per year up to $1,000. In order to apply and receive grants, you will need to be an up-to-date ASNEW member AND reside in the ASNEW service area. Grants must be used within 90 days. Income is verified and preference goes to those who have not received a grant in the past.

Grants are available for qualifying members to purchase goods and services pertaining to a child with an autism spectrum disorder. Funds may be used for such things as biomedical tests and interventions, safety items such as fencing or alarm systems, or equipment that will be used in the home setting.

You will need to be an ASNEW member to apply for grant money.

Not a member yet?

Membership Application

Grant Deadlines

January 31st - for grant awarded in March
April 30 - for grant awarded in June
July 31st - for grant awarded in September
October 31 - for grant awarded in December

To apply, you can either download and complete the form at the link provided or fill out the online application below.

Grant Instructions

Grant Application Download

Online Grant Application Form

Grant Application for Autism Society of Northeast Wisconsin

1.

Last name

First name

Middle name

Date

Month

Day

Year

2.

Multi-line address

Country/Region

Address

City

Zip / Postal code

3.

Phone

4.

Child/Applicant Name

Diagnosis

5.

Child’s Age

Amount Requested $

6.

What is this request for?

7.

How did you hear about our grant program?

8.

Have you received an ASNEW grant before?

Yes

9.

Are you a member of ASNEW?

Yes

10.

Have you volunteered for an ASNEW event or attended a meeting?

11.

Include all supporting documentation with application:

1. Most current tax information including adjustable gross income (1040). 2. Charge estimate for your request.

Tax Info Upload

Charge Estimate Upload

Please provide a brief description of the child, family situation and why you are requesting this grant.

Provider/Vendor Information

Please note provider cannot be changed once grant has been submitted.

Name

Treatment/Item

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

If this application leads to a grant, I understand that false or misleading information in my application may result in losing my grant. I also understand that the funds I receive may be less that I applied for. If your grant is approved, you can begin using the funds by contacting your provider. All funds will be sent directly to that provider. Funds are never given directly to applicants and funds can never be cashed out from the provider to the family. Funds are non transferable, and can ONLY be used for providers listed on application. If you are unable to use the funds, checks must be sent back to ASNEW, and will be used for another child. ASNEW reserves the right to approve or deny any applications based on decisions by the board of directors. I understand that submitting this application is no guarantee I will receive a grant. Some of the reasons your grant may be denied include: lack of funds, incomplete information on your application (applications must be completed in full along with all supporting information), applying outside of the grant acceptance periods, other applicants were in greater need, or you did not fit the criteria for a grant at this time

I certify that I understand the terms of this grant, and that my answers are true and complete to the best of my knowledge.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Printed name