Connect with the Melisa Nellesen Center for Autism

UVU Forms

Connect with the Melisa Nellesen Center for Autism

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Thank you for Contacting Us!

Please fill out this form so we can best help you reach the right person or place.

Note: Response times may vary depending on the nature of your request, but we aim to get back to you within 2 business days. Thank you for your patience and understanding.

1. Name
(First and Last)

2. Organization

3. Email

4. Phone Number

5. Preferred Contact Method
How would you prefer to be contact? (Please note: Email response times are typically quicker than phone calls.)

EmailPhone

6. Role/Who You Are (Select One):

I am a Potential StudentI am a StudentI am a Family MemberI am a TeacherI am a Community MemberI am a ProfessionalI am just curious about the Center

7. What are you looking for? (Please select all that apply)

Information About the CenterRequest a MeetingTour of the CenterPASSAGESWolverines ElevatedDiagnosis and ResourcesTrainingVolunteeringAnnual Autism ConferenceEventsDonationsResource LibraryOther

8. Which of These is Your Primary Focus? (Select One)

Information About the CenterRequest a MeetingTour of the CenterPASSAGESWolverines ElevatedDiagnosis and ResourcesTrainingVolunteeringAnnual Autism ConferenceEventsDonationsMailing ListResource LibraryOther

Tours

Thank you for your interest in touring our center! We look forward to showing you our programs, facilities, and resources. Please fill out the information below to help us customize your tour experience,

Is this tour for an individual or a group?

IndividualGroup

How many people will be attending the tour?

1 (just me)2-5 people6-10 people10+

What is the primary age group of the attendees?

Children (under 12)Teens (13-18)Young Adults (19-25)Adults (26+)

What aspects of the center would you like the tour to focus on?

General Overview of the CenterPASSAGES Program spacesWolverines Elevated spaces Other

What is your preferred day/time for the tour?

What is the primary purpose of this tour?

Learning about programs and servicesExploring opportunities for enrollmentConsidering partnership or collaborationOther

Training

Thank you for your interest in learning! We provide training opportunities tailored to individuals, groups, and organizations on topics related to autism and inclusion. Please complete the form below to help us create a session that meets your needs.

Is this training intended for a specific group or organization?

Yes (please specify the group or organizationNo

Specify the group or organization the training is intended for:

What type of audience is this training for?

First RespondersProfessionalsEducatorsStudentsCaregiversOther

Are you registering on behalf of a team, organization, or as an individual?

IndividualTeam or Organization (please specify)

Specify the group or organization the training is intended for:

What are the main goals or outcomes you'd like to achieve through this training?

Are there any specific topics or areas you'd like the training to focus on?

College and AutismAutism in the WorkplaceAutism and First RespondersAutism and CommunityOther

What is your preferred format for the training?

In-personOnlineHybrid (a mix of in-person and online)

What is your preferred schedule for the training?

WeekdaysWeekendsMorningsEveningsOther

Volunteering

Thank you for your interest in volunteering! We offer opportunities year-round, both short-term and long-term, to support our programs and events. Please provide the details below so we can match you with the right opportunity

Are you looking for a short-term or long-term volunteer opportunity?

Short-term (one-time events or occasional commitments)Long-term (ongoing, weekly, or monthly commitments

How much time are you available to volunteer?

Less than 5 hours per week5-10 hours per week10+ hours per week

When are you available to volunteer?

WeekdaysWeekendsEveningsOther

Do you have any specific skills or areas of expertise you'd like to contribute?

Are you looking to gain specific experience or skills through volunteering?

Yes (please specify)No

What specific experience or skills through volunteering are you looking to gain?

Are you volunteering as an individual or as a part of a group?

IndividualGroup (please specify size and organization, if applicable)

Group Volunteer (please specify size and organization, if applicable)

Resource Library

What is the title of the book you're looking for?

Authors name (if known)

Is there a specific genre or subject you're interested in?

Do you need a specific edition or publication year?

Meeting Thank you for your interest in scheduling a meeting! Whether you’re seeking information, support, or collaboration, we’re here to help. Please provide the details below so we can connect you with the right person and ensure a productive discussion.

Do you already know who you would like to meet with

YesNo

If you already know who you'd like to meet with, please select their name from the list below:

Laurie Bowen (interim Director - Center for Autism)Sam Hawkes (Administrative Assistant - Center for Autism)Doc Clegg (Office Assistant - Center for Autism)Michael Davies (Program Director - Passages)Anna Sisson (Program Director - Wolverines Elevated)Suzy Ahlman (Program Manager - Wolverines Elevated)

What is the primary focus or topic of this meeting?

Learn about the PASSAGES programLearning about the Wolverines Elevated programExploring volunteering opportunitiesDiscussing autism research or studiesPlanning collaboration or partnership opportunitiesLearning about community events or outreachOther

Additional Details

Message or Inquiry:
Please provide details about your inquiry or the support you're looking for.

Mailing List

How Did You Hear About Us?

WebsiteSocial MediaFriend/FamilyEventOther

Would you like to receive updates and news from the Melisa Nellesen Center for Autism?

YesNo

Which mailing list(s) would you like to join? (Select all that apply):

General UpdatesEventsWolverines Elevated

Contact Information

UTAH VALLEY UNIVERSITY

800 West University Parkway, Orem, UT 84058
(801) 863-8888
© Utah Valley University

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