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    2021 Stipend Guidelines

    The individual requesting a stipend must reside in one of the seven parishes served by Autism Society Acadiana (ASA): Acadia, Evangeline, Iberia, Lafayette, St. Landry, St. Martin, or Vermilion.

    Autism Society Acadiana provides stipends in the following categories: EDUCATION, RECREATION and TECHNOLOGY.

    Stipends will be provided to *ACTIVE* Autism Society Acadiana members and are limited to the amount in the board approved budget for that category/program each fiscal year.

    *An ACTIVE Autism Society Acadiana member is defined as a member who VOLUNTEERS TIME/EFFORT for the organization with fundraisers or chapter-sponsored activities. (Examples include but are not limited to the following: WALK FOR HOPE, FAMILY PICNIC, TRIVIA NIGHT, and CHRISTMAS PARTY. A minimum of (3) volunteer hours in the previous 12 months from date of stipend request is required. Efforts other than actual volunteer hours such as contributions of food, materials and equipment, or services such as ASA office work will also be considered. Volunteer hours will be verified, and final decision of stipend request is discretionary


    I. EDUCATIONAL STIPEND

    The Educational Stipend is for ACTIVE Autism Society Acadiana members to attend educational conferences/workshops/seminars, etc. Educational stipends will be limited up to $200.00 per family, per calendar year.

    Educational Stipend Guidelines are as follows:

    Conferences/Workshops/Seminars

    • The person with an autism spectrum disorder (ASD) applying or the parent(s)/caregiver applying
      for the stipend must be an active Autism Society Acadiana member.
    • The individual with ASD must have been diagnosed with an ASD by a qualified medical or
      educational professional (school evaluations are acceptable).
    • The individual making application for the stipend must be an active Autism Society Acadiana
      member and 18 years or older

    The conference or seminar must be approved in advance by the Autism Society Acadiana office. The
    name and description of the program, along with contact person for hosting organization, mailing address
    and phone number must be included on the stipend request form. Educational stipends for the calendar
    year will be limited to a maximum of $300 per individual and limited to two activities/programs per fiscal year (January - December).

    Reimbursement Process for Conference/Workshop/Seminar ยท

    Stipend checks will be made payable to the provider/sponsoring organization and either mailed directly to the provider or organization or mailed to applicant to send in with registration form

    Stipend application must be submitted with accompanying documentation regarding conference/workshop/seminar to the Autism Society Acadiana office, via fax, email, or US Postal Mail, well in advance of early registration deadlines. To be reimbursed for payment made for a conference/workshop/seminar, proof of attendance must be submitted or within 14 days following the event.

    The mission of Autism Society Acadiana is to support families of individuals with autism spectrum disorders and to help enable persons within our community to live with, educate, and care for individuals with an autism spectrum disorder

    II. RECREATIONAL STIPEND

    This stipend is for individuals with an autism spectrum disorder (ASD) that allows participation in a
    recreational activity. Previously approved programs include but are not limited to: camps, swimming
    lessons, art lessons, karate lessons, dance classes and bowling. Applicant individual or parent(s) must be
    an active member of Autism Society Acadiana.

    Recreational Stipend Guidelines are as follows:

    • The person with an autism spectrum disorder (ASD) applying or the parent(s)/caregiver applying
      for the stipend must be an active Autism Society Acadiana member.
    • The individual with ASD must have been diagnosed with an ASD by a qualified medical or
      educational professional (school evaluations are acceptable).
    • There are no age limitations for the individual with an ASD to be considered for a stipend. Both
      children and adults are eligible.
    • The name and description of the program, along with contact person, mailing address and phone number must be included on the stipend request form. Activities which are not funded by recreational stipends include, but are not limited to: educational classes, tutoring, continuing education, summer school, therapy, counseling, and daycare/babysitting service.
    • Recreational stipends for the calendar year will be limited to a maximum of $200.00 per individual and limited to two activities/programs per fiscal year (January - December).

    Reimbursement Process for Therapeutic Equipment or Assistive Technology Device

    Reimbursement will be made to applicant upon submission of proof of payment for the equipment/device. A stipend application request for partial/full reimbursement of purchase of equipment or technology device must be made within 30 days of purchase. Receipt of purchase is required. No exceptions. For payment to be made to provider or company for the purchase of the equipment/ device, arrangements must be made with our office staff once stipend is approved.

    I have read the educational/recreational/technology stipend guidelines for which I am applying and fully understand the guidelines and attest to the number of volunteer hours/efforts I have stated on the stipend request form being submitted to Autism Society Acadiana for review and approval. manner applied for it is the responsibility of the applicant to contact the ASA office at [email protected].

    Date:

    Note: The above stated guidelines are provided for general purposes. Autism Society Acadiana does recognize that there occasionally are individual extenuating circumstances. Requests for consideration of special circumstances should be submitted to the Autism Society Acadiana office for Budget Committee to review.

    2021 Stipend Request Form


    Type of Stipend you are applyling for: Recreational Educational Technology

    Have you received a stipend from us before?
    Yes / No*
    If yes, when was the last stipend
    received?
    Date Received in Office
    Please indicate your volunteer hours at fundraisers/events, activities, at office in last 12 months:
    Total Volunteer Hours:* State # of hours per event:
    Walk For Hope Fall Membership Meeting/Picnic Trivia Night Holiday Party Seminar At Office Other (description of other )
    Note: You MUST be an active member to qualify for a stipend. Hours will be verified.
    Please indicate your relationship to the individual with disability:
    Self/Parent/Caregiver/Other (please specify)*
    OR
    Note: An application may or may not be funded dependent on the number of applications received and the amount of funding available for the type of stipend program.
    Please read and sign stipend guidelines PRIOR to submittal and make sure ALL documentation is attached.
    For Office Use Only
    Amount Approved: ____________________
    Notified: Parent (date) _________by mail/email/phone & Provider (date) ________ by mail/email/phone