Name *

First Name

Last Name

Why do you want to become a member?

Please check all that apply.

I have Asperger's

I am on the spectrum

I suspect that I might have Asperger's or be on the spectrum

Someone else suggested that I might be on the spectrum

I am a parent of someone on the spectrum

I am the sibling of someone on the spectrum

I am married to someone on the spectrum

I am a caregiver of someone on the spectrum

What is your occupation?

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I am employed full time

I am employed part time

I am a full time student

I am a part time student

I have hobbies

Living situation

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I am independent

I live alone

I live with roommates

I live with a significant other

Relationships

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I am single

I am in a relationship, but not married

I am married

Activities you are interested in

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Support groups

Social groups

Cultural events (museums, movies shows etc)