User account

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Please provide your full name. Include both your given name and your family name. You middle name or initial is optional: only include them if you like them to be used when letters of emails are addressed to you ... or if you want to be distinguished from others with the same given and family names. The content of this field is kept private and will not be shown publicly.

The first line of your address ... we needs some contact information so please provide an address where we can contact you. The content of this field is kept private and will not be shown publicly.

If you have a long or complicated address you can put part of it here. Notice the next section is for city/suburb, state/territory and postcode so please do not put them here. The content of this field is kept private and will not be shown publicly.

Which city or suburb do you live in? The content of this field is kept private and will not be shown publicly.

Please choose a state or territory ... The content of this field is kept private and will not be shown publicly.

Enter the postcode for your address. The content of this field is kept private and will not be shown publicly.

Leave this blank if you live in Australia. Please enter your state and country if your address is from a state outside Australia. The content of this field is kept private and will not be shown publicly.

Checking this box in your membership profile says you wish to be a member of Autism Asperger ACT Inc. and you accept all the conditions and responsibilities that membership of the organisations entails. The content of this field is kept private and will not be shown publicly.

By checking this box you agree to letting Autism Asperger ACT Inc. and its agents aggregate your data with other member's data for reporting on people with ASD in the ACT. The content of this field is kept private and will not be shown publicly.

By checking this box you agree to the ACT Autism Advisors using the information you provide to register you and your child with the FaHCSIA FOFMS* system. If you are registering to see an Autism Advisor and for the FaHCSIA Helping Children with Autism Early Intervention service, please ensure you login once you receive your email. Then make sure you complete the Helping Children with Autism tab under My Account. *FOFMS is FaHCSIA’s online system used to manage access to the early intervention components of the Helping Children with Autism package that is funded by the Department of Families, Housing, Community Services and Indigenous Affairs as part of the Helping Children with Autism Package. The content of this field is kept private and will not be shown publicly.

Please provide your home telephone number, or a work telephone number. It is essential that you provide an telephone number (either here or a mobile number below) if you want to register for FaHCSIA early intervention funding via FOFMS. We need the number to contact you. The content of this field is kept private and will not be shown publicly.

Check this box if you have a silent telephone number. The content of this field is kept private and will not be shown publicly.

The content of this field is kept private and will not be shown publicly.

Check this box if your mobile number is silent. The content of this field is kept private and will not be shown publicly.

Please enter your work telephone number if you have one. The content of this field is kept private and will not be shown publicly.

If you have a fax you can enter the number here. The content of this field is kept private and will not be shown publicly.

Please check this box if you are a person formally diagnosed with an ASD. The content of this field is kept private and will not be shown publicly.

Choose the relationship you have to a person with ASD that is closest to the top of the list ... The content of this field is kept private and will not be shown publicly.

If you have a work (or volunteer) interest in helping people with ASD, please choose the one closest to the top of the list ... The content of this field is kept private and will not be shown publicly.

If your interest in ASD does not fit any of the above categories, please write a short description of your interest in ASD. The content of this field is kept private and will not be shown publicly.

You can provide your spouses name. If you both use the same family name then just enter your partner's given name. The content of this field is kept private and will not be shown publicly.