Please fill out all required fields and be sure to send in the required supporting documents. Applications cannot be considered until all required paperwork is received.

Family Grants Application Form

  • Family Information

  • Information About the Child

  • Children with intellectual disabilities are not eligible for an AANE Family Grant, but may be able to apply for a family grant from another autism agency. Look on theDoug Flutie website for other New England organizations to which funds were given for this purpose.
  • Request for Funds

  • Family Financial Information

    As soon as possible, you need to provide documentation of your total family income for the most recent year.
    We cannot process incomplete applications (ones lacking documentation of diagnosis and of income).
    Please select which form(s) of documentation you are mailing to AANE
  • Please select which form(s) of documentation you are mailing to AANE

  • The Check

    Please enter the name and mailing address of whom the check should be sent to
  • Conflict of Interest / Agreement

    I agree that the child does not have any relationship with the organization (the Doug Flutie, Jr. Foundation Trustees, the Flutie family, or any other contributor to the organization or any other corporation controlled by any other contributor to the organization.
    I have read and completed this grant application and certify that the information contained in it is correct to the best of my knowledge and best of my belief. I certify that I have made a diligent search for other sources of funding for this request and that, to the best of my knowledge, there are no other resources, public or private, available to fulfill this request. (check box for “I agree to these terms”)*
  • Additional Required Materials (Documentation can be mailed to AANE)

    Asperger/Autism Network (AANE)
    51 Water St., Suite 206
    Watertown, MA 02472
    One of the following is required to for you to mail to AANE as part of this application. Please select which form of documentation you will be providing.