GCA Financial Relief Program Application Form 2024/2025

  • GCA Financial Relief Program Application Form 2024/2025

  • Welcome to the Geneva Centre for Autism Financial Relief Program Application Form. This application should be completed by the parent/legal guardian/caregiver of the client (child). Please submit a separate application form for each client. Please note that eligibility does not guarantee that the client will receive a subsidy. Eligible applications will be further assessed and selected based on financial need and circumstances. If you have any questions or require assistance with the application form, please contact subsidy@autism.net.

  • Contact Information

  • Format: (000) 000-0000.

  • Client Information

  •  - -

  • Financial information

    Please note that financial documentation will be required to verify and assess financial information.

  • Required documentation

    For GCA to assess your application, please provide us with the complete and recent copies of documentation. GCA program staff do not have access to these files or to the contents of your application. GCA program staff does not have any input on and influence over the adjudication process.
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  • Demographic information (optional)

    Demographic information is collected for tracking purposes only. Responses will not be used in the subsidy eligibility or allocation decisions.

  • Detailed information about eligibility for the GCA subsidy program can be found here.

    If you require assistance with the application and/or have questions about eligibility, please contact: subsidy@autism.net.

  • Please ensure your application is complete with all supporting documentation before submitting.

  • Click here to view GCA's privacy policy (opens new tab)

  • Optional: Feedback on the application process

    We hope to improve the program in the future and appreciate your feedback on the subsidy program and application process.
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