Request for Resources or Support
Completion Time: 3 minutes. The information you provide in this form is confidential and will only be used by our team to provide intentional, individualized support to those working or volunteering in faith-based organizations. *If an observation is requested, we suggest obtaining parent permission and can provide a form to be used for this purpose.*
Your First Name
Your Last Name
Your Email
Name of Your Organization
Your Title/Role
What is the current status of Disability-Focused Services at your Organization?
There is/are a group(s) or class(es) for people with disabilities
Disability Accessibility is embedded into our entire organization
My Organization would like to develop a group or class for people with disabilities
I'm not sure
Other
If you selected other in the previous question, please specify here
Support Info
What disability categories do you serve in your community? (select all that apply)
Down Syndrome
Autism
ADHD
Emotional Disability (Anxiety, Depression, DMDD, Bipolar Disorder, etc.)
Speech/Language
Deaf/Hard of Hearing
Physical Disability/Orthopedic Disability
Learning Disability (Dyslexia, Difficulty with Processing, etc.)
Vision Loss
Traumatic Brain Injury
Cognitive/Processing (Intellectual Disability)
Unsure
Other
None
If you selected other please specify
With which grade(s)/age(s) do you work or serve? (select all that apply)
Preschool/PreK
Elementary
Middle School/Junior High School
High School
College
Young Adult
Adult
What are some of your go-to and favorite accessibility strategies and supports?
What is your biggest concern in supporting people with disabilities?
Is there anything else you would like our team to know?
What is your preference for follow-up and support? (select all that apply)
Developing Materials
Tip Sheets/Quick Tip Videos
Training or Professional Development
Ongoing Coaching or Consultation
Observation for Individualized Support
Submit