MyWorld teaching resources Teacher Campaign Organisational details Title Mr Mrs Ms Miss Dr Mx * First name * Last name * Job title * Organisation name Address line 1 * Address line 2 Address line 3 Address line 4 Town/City * Postcode * Country United Kingdom Afghanistan Albania Algeria Andorra Angola Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Bulgaria Burkina Faso Cambodia Cameroon Canada Central African Republic Chad Chile China Colombia Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Guatemala Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Lao Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Lucia Samoa San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Tibet Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United States of America Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Virgin Islands Wallis and Futuna Islands Western Sahara Yemen * Email * Phone number Mobile Work sector Careers/EmploymentMental HealthCharity SectorResearchCommissionerSocial CareCriminal JusticeTherapy ProvisionEducationWelfare RightsEmergency ServicesOtherHealth Care * Do you support people with autism? If so, how much of your time involves specific responsibility for autism or people with autism? All of itMain focus (over 50%)Part focus (30-50%)No specific or specialist responsibility * With which age range(s) do you work? Early Years (0-4)Primary (5-11)Secondary (11-17)Young Adult (18-25)Adult (25-65)Older Adult (65+) * Your connection with autism Please tell us how you’re connected with autism. You can tick as many boxes as you like. I am autisticParent/carer of someone with autismFamily member of someone diagnosed with autismFriend of someone diagnosed with autismProfessional working in the field of autismOther autism connectionNo autism connectionPrefer not to say Marketing permissions The National Autistic Society would like to keep in touch with you about our services, support, events, campaigns and fundraising. We'll only contact you in the ways you want, and we’ll keep your data safe. (See our privacy and data protection policy for further details.) I agree to the National Autistic Society contacting me in the following ways: Post Telephone Email SMS text To update your permissions, contact us on 0808 800 1050 or at email@example.com Address finder: enter your house number and postcode, and then select from the list (UK only: for other addresses, please complete the form in full) House or building number (optional) Postcode Please note that welcome mailings will be sent to UK addresses only.