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Apply for Employment Services

We look forward to partnering with you on your employment journey - no matter what stage you're starting at or where you'd like to reach. We help our clients explore their own interests, navigate the job market, and develop the interpersonal, workplace, and self-advocacy skills that support their success in careers that are meaningful to them.

Have questions?

Email EmploymentServices@PartnersinAutism.com and our Director of Life Skills and Career Development will contact you.

Our Employment Services

The Partners Difference

Client's First name*

Client's Last name*

Full Name of Guardian (if applicable)

Upload guardianship documentation (if applicable).

Email*

Phone*

Preferred time and method of communication

Ex. morning/afternoon/evening, email/phone

Date of Birth*

Month

Day

Year

Multi-line address

Country/Region*

Address*

Address - line 2

City*

Zip / Postal code*

Have you ever received services from Partners in Autism or participated in our social groups? Please list services/groups.

Briefly describe your employment history.*

This will help us get to know you and the goals you have for yourself. We will dive much deeper in-person during intake.

Are you currently employed?*

Yes

No

Which best describes your current employment goal? (Select all that apply.)*

Explore your skills and interests

Develop foundational workplace skills

Find your first job

Change your job field

Increase stability in your current role

Advance within your current career

Other

Briefly describe any diagnoses or other employment barriers that are impacting your employment success*

What funding source(s) do you plan to use? (Select all that apply.)*

Vocational Rehabilitation (VR)

Private Pay

IN Community Integration and Habilitation Waiver *for Extended Services only

ESA (Indiana Educational Scholarship Account) *for education goals only

Other

Upload current funding source documentation. Multiple files can be uploaded.

Vocational Rehabilitation Counselor/Job Coach name and contact information (if applicable)

Case Manager name and contact information (if applicable)

Subscribe to our newsletter and other resources.

Signature*

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Fort Wayne, IN 46825

Phone: (260) 420-9332

Fax: (866) 446-0198

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