Application

Our application process is in-depth and asks a range of different questions about your life.

If you are not sure if the California Autism Network is for you, feel free to explore our Frequently Asked Questions, or inquire about our Free Consultation.

If you already think you are a perfect fit for our program, you can apply online by filling out the form below.

(If "Yes" please answer the question below)
(If you are not a member of the Inland Regional Center, just leave this blank)
Or past school name
Or expected graduation date
No judgement. We just need to know.
Select all that apply. Hold "Control" on your keyboard to select more than one
(seizures, head injuries, diabetes, sleep disturbances)
Feel free to write anything here. We want to get to know you.