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100% of survey complete.

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* 1. Are you autistic? (Diagnosed or self-identified)

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* 2. Please outline the work you do for the autistic/autism communities (e.g. conference speaker, trainer), and how this has been affected by the Corona Virus outbreak

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* 3. Please confirm that this is your sole source of income.

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* 4. For what purpose(s) are you requesting assistance from the Autistic Mutual Aid Fund? (E.g. utility bills (or part of), equipment to move work online, taxi fares, groceries and delivery costs)

The Fund is intended to cover (or contribute towards) specific costs.
Applying successfully now does not prevent you from applying again in future, if the Fund is still in operation. 

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* 5. How much money are you requesting from the Fund?

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* 6. Please provide a breakdown of what you intend to use the money for - e.g. using a taxi at £8 per journey; (part) payment of April utility bill at £100) 
N.B. We may contact you for evidence of how you have used the money (e.g. receipts)

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* 7. Please provide contact details so we can get in touch about your application - Please note that the Fund is intended for people based in the UK. Though we are keen to work with people in other countries to help them set up, and promote their own Community Fund.
If you provide details of a third party (e.g. family member or advocate), please add their relationship to you in the 'Name' box (along with their name)

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