Family Scholarships To be eligible for a Family Scholarship: You must reside in Iowa. You must apply for someone with Autism living in Iowa. Your family's Federal/Net (not gross) income for the most recent year must be less than $60,000.00. Allowable Categories: Equipment: Sensory Technology Safety equipment to prevent wandering Equipment must be used to support and improve the quality of life for the individual with Autism. For equipment, please include the order information, color, size, weight, etc. for consideration. If the scholarship is approved, receipt of the approved purchase will be needed for reimbursement. Inclusive Activities: Classes Camps Employment Job Coaching Please include where the inclusive activity will take place and the amount. If approved, the check will be sent to the agency providing the activity. Parent Caregiver Education for Autism Education: Please include who is providing the autism education class, and if approved, the check will be sent directly to the agency. Therapy Co-Pays: Sleep Language Pathology Therapy Occupational Therapy Applied Behavior Analysis Please include who is providing the therapy, and if approved, the check will be sent directly to the agency. First Name *Last Name *Address *Street AddressCityStateZip / Postal CodeEmail *Phone *What program or item will you use the scholarship for? (Please provide the address) *What is the cost of the program or item? *What is the amount of scholarship money you are requesting? *How will the program or item benefit you? *Why are you applying for a scholarship? *Are you: *A person with Autism Spectrum DisordersA family memberA caregiverOther (Please describe below)Have you received a scholarship from Autism Society of Iowa before? *YesNoFamily scholarships are for families that are within 200% of the federal poverty guidelines, which is $48,600.00 for this year. Please mark your annual income level below. *$0-$30,120$30,121-$40,880$40,881-$51,640MessageSubmit Application