GCDD's 2020 5-Year Strategic Planning Focus Group Application

Thank you for your interest in participating in a GCDD Focus Group. The input we receive from these groups will help guide the Council in creating a 5-year plan aimed at improving the lives of Georgians with disabilities and those who support them. In order to adequately address the issues present in our communities, we need to hear from you!

In order to ensure our groups accurately represent the diversity in our community, we ask that you please complete the demographic questions below. Your information will not be shared with the public.

We have a limited number of openings for our focus groups, so there is a possibility that you may not be chosen. However, we have numerous opportunities for you to engage in our public input process, including a survey and town halls.

Focus groups will take place in September and will be approximately 60-90 minutes in length. If you are selected, we will contact you with additional information.

Question Title

* 1. Please enter the following contact information:

Name *

Company (if applicable)

Address

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. I am a person with a disability

Yes