Autism Direct Funding Application

Available ONLY to those living in Waterloo Region

IMPORTANT: Please read all instructions before starting your application. Incomplete applications will not be considered.

Autism Direct Funding provides up to a maximum of $500 that can be used in three possible ways.

1. To cover the cost of summer camp programs (all camp programs are eligible i.e. fully inclusive and Special Needs based programs)

2.To pay for Respite support (e.g., to give parents a break) or 1-1 support (e.g., Support worker at a camp program)

3. To pay for Recreation/Leisure/Skill Developmental Programs

Please note: This funding can not be used to pay for any form of therapy, including Speech Therapy, Occupational Therapy, or Applied Behaviour Therapy (ABA).

For children 0 – 17 years living in Waterloo Region.

INCOMPLETE FORMS WILL NOT BE CONSIDERED.

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You can get the Application Mailed to You!

Click here to let us know where to send your application

2023 Application

FOR PERIOD APRIL 1, 2023 – MARCH 31, 2024

Please Note: Funding is not available to individuals living outside of the Waterloo Region.

Have you applied for Special Services at Home funding (SSAH)?*

Is there more than one child/sibling in the home with an Autism Spectrum Disorder diagnosis?*

Are you planning to use ADF for camp fees? (Please note that funding can only be used for camps starting April 1, 2023 until March 31, 2024)*

Do you want to add another camp?

Do you want to add another camp?

Are you planning to use ADF for Respite or for 1:1 Support Worker? (Please note that funding can only be used for respite starting April 1, 2022 until March 31, 2023)

Will you be using your Extend-A-Family Waterloo Region SSAH/Direct Support Person (DSP) to provide this respite?

Do you want to add another support worker?

Will you be using your Extend-A-Family Waterloo Region SSAH/Direct Support Person (DSP) to provide this respite?

Do you want to add another support worker?

Will you be using your Extend-A-Family Waterloo Region SSAH/Direct Support Person (DSP) to provide this respite?

Are you planning to use ADF for a recreation or skill development program? (Please note that funding can only be used for respite starting April 1, 2022 until March 31, 2023)

Do you want to add another program?

Do you want to add another program?

If approved, a cheque will be made payable to parent/guardian identified above. Cheques will be mailed out in April 2023. If your mailing address changes, please update it by calling the Autism Direct Funding Committee at 519-741-1121.

 

Please wait for a “Success!” message after you click the submit button to be sure application was delivered to our staff.

If you are experiencing technical difficulties, please call 519-741-1121.

*Note: To qualify for funding, your completed form must be received at our Office by 5p.m., Tuesday, January 31st, 2023.

If you are having difficulties with the online form on this page — or require assistance, we can offer you three options:

Option 1

Click here to request a paper copy of the form be mailed to you by Canada Post.


Option 2

Call our office for assistance at (519) 741-1121. Our offices are open, Monday-Friday, 9a.m. – 4:30p.m.)


Option 3

Visit our office at 205 – 1120 Victoria Street North, Kitchener, to pick up a paper form.