Collaboration Request Form

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This form should be used to submit a training request, or any other collaboration from Autism Alliance of Michigan Staff with your organization. A response will be sent to the below email address within 48 hours. If you have any additional questions, please do not hesitate to email trainings@aaomi.org

Email *

Which of the following are you requesting: *

Personalized Organizational Training (minimum of 50+ participants)

Survey or educational participation from staff

Survey or educational participation from families and other constituents of AAoM

Letter of Support/Endorsement

Vendor/Booth Appearance

Required

Name of Contact Person & Title *

Phone

Number

Please specify date of event *

YYYY

Event time

Event location and address *

How many participants do you anticipate will attend this event? (In-person/virtual)

Purpose *

Have you previously collaborated with the Autism Alliance of Michigan?

Yes

Clear selection

Please include a description of the program and details around the supports you are requesting from Autism Alliance of Michigan. *

Send me a copy of my responses.

Submit

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