Program Interest Form

People interested in any of YAI's programs and services can feel free to call us at 212.273.6182 to speak directly to an Information Specialist. If you prefer, you may complete the form to provide us with some additional information and someone will be in touch to help you determine if the eligibility criteria will be met.

Eligibility criteria varies from program to program dependent on the funding source's requirements and will need to be met before someone can be enrolled. Submission of this form does not guarantee admission to any program or service.

Feel free to click on the program to learn more. Please note residency, age, and other eligibility restrictions apply.
We are asking this question because an autism diagnosis is an eligibility requirement for one of the programs you selected.
We are asking this question because an autism diagnosis is an eligibility requirement for one of the programs you selected.
Many programs have age restrictions.
Many programs have age restrictions.
Attendees will need to have OPWDD eligibility. If you do not have eligibility please call 212.273.6182 and we can help you get started.
Attendees will need to have OPWDD eligibility. If you do not have eligibility please call 212.273.6182 and we can help you get started.

The programs in this list are funded for people with a diagnosed intellectual or developmental disability residing at home either in NYC. It appears you have not met one or more criteria and, therefore, cannot be considered for these groups at this time. If you feel you received this message in error, please either complete the form again, or reach out to us at 212.273.6182.