Selective Mutism Affiliate Program Application

Our Selective Mutism Affiliate Program connects speech-language pathologists, therapists, educators, and healthcare professionals who specialize in anxiety-based communication disorders. This application helps us identify practitioners committed to evidence-based, pressure-free approaches that support children with selective mutism.

As an affiliate, you'll gain access to specialized training materials, connect with a network of experts in anxiety disorders and communication challenges, and receive resources for coordinating school accommodations and family support. We're building a community that understands the nuanced nature of selective mutism—recognizing it as an anxiety disorder rather than willful behavior.

Whether you're a speech-language pathologist seeking to expand your selective mutism expertise, a school counselor coordinating accommodations, or a mental health professional specializing in childhood anxiety disorders, our affiliate program provides the collaborative support network you need. Our approach prioritizes gradual exposure, environmental modifications, and removing performance pressure—never forcing speech.

Use this Paperform template to streamline your affiliate enrollment process. The form captures professional background, expertise areas, and approach philosophy to ensure alignment with evidence-based practices. You can customize questions, add conditional logic for different professional pathways, and integrate with your CRM using Stepper to automatically route applications to the appropriate review team. Accepted affiliates can receive automated welcome emails with resource access and community invitation links.