Autism Awareness Program - Mesquite Police Association Charities

The Mesquite Police Association Charities and Mesquite Police Association, in partnership with the Mesquite Police Department, City of Mesquite, and Mesquite Independent School District, have developed an autism awareness program that allows first responders to be aware of residences and vehicles that may be occupied by an individual with autism. This program provides residents with decals for their homes and vehicles as a visual indicator for first responders that they may interact with an individual with autism.

Once a resident is registered, information is added to the Mesquite Police Department Computer Aided Dispatch system utilized by the City of Mesquite which alerts first responders when responding to a residence or individual that has been enrolled in the program. Officers have advanced training in crisis intervention which can aid in dealing with a situation where someone may be on the autism spectrum. Situations involving an individual with autism often must be handled in an alternate manner than standard operating procedure.

Decals are provided to Mesquite residents by the Mesquite Police Association Charities at no charge. Decal quantities are limited to 4 per design. If you would like to obtain more, please contact Admin@MPACharities.com.

This program is designed to improve and enhance safety for citizens and first responders. If you have any questions or suggestions as to modifications or additions to this program, please contact Admin@MPACharities.com.

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Autistic Loved One

Name:

First

Middle

Last

Nick Name:

Race:

Sex:

Date of Birth:

Height in feet and inches:

Weight in pounds:

Hair color:

Eye color:

Primary address:

Address Line 1

Address Line 2

City

State

Zip Code

Does this person have a secondary address?

Does this person have any easily recognizable scars, marks, or tattoos?

Does this person attend school?

Does this person attend a day care facility?

Has this person been medically diagnosed?

Is this person verbal or non-verbal?

Does this personal have other known medical conditions?

Does this person have any negative triggers (lights, sounds, contact, etc.)?

Does this person have a favorite location or location they are known to frequent?

Can you provide a current photograph of the person?

Emergency Contact #1

Emergency contact #1 name:

First

Last

Emergency contact #1 address:

Address Line 1

Address Line 2

City

State

Zip Code

Emergency contact #1 cell phone:

Emergency contact #1 email address:

Emergency contact #1 primary language:

Would you like to add an additional emergency contact?

# of residential decals (max 4):

Selected Value: 0

# of vehicle decals (max 4):

Selected Value: 0

# of small general use decals (max 4):

Selected Value: 0

# of large general use decals (max 4):

Selected Value: 0

How did you hear about this program?

Would you like to make a small donation to the MPA Charities to help fund this program? Donations are tax deductible and will be used exclusively for our Autistm Awareness Program.

Yes!
Maybe Later

Autistic Loved One

Emergency Contact #1

Emergency Contact #2

Decal Request

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