STEM Scholarship Application

Empowering young minds through STEM opportunities. Our scholarships help Texas families afford enrichment programs, classes, and camps for their autistic child.

Applicant information

Child's full name

Child's date of birth

Parent / guardian name(s)

Email address

Phone number

Home addressPreferred method of contact

Autism diagnosis

Date of autism diagnosis

Diagnosed by (optional)

Anything about your child's strengths, challenges, or personality (optional)

STEM activity details

Name of program / class / camp

Organization or provider

Provider website or contact (if available)

Start date

End date

Location (in-person or online)Describe the activity and how it will benefit your child

Financial information

Total cost of program

Amount you are requesting

Have you applied for or received other financial assistance? If yes, please explain

Anything else?

Is there anything else you'd like us to consider?

I affirm that the information provided is accurate to the best of my knowledge.

Supporting documents: After you submit, please email a program brochure or invoice/cost estimate and proof of autism diagnosis (a doctor's note, IEP, or evaluation report) to info@autismenrichmenttx.com. We will follow up using your preferred method of contact.