Hello! The DSAGSL is excited to announce that we are starting an employment initiative for our members with Down syndrome. The mission is to assist our members in finding employment in our community and to build a more inclusive business environment. We need your help to make this work. We would like to collect information from our members about their current places of employment so that we may have a base of potential businesses and contacts to involve. We will not contact any employers without your direct consent. Thank you for your time!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your street address?

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* 4. In what city do you live?

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* 5. In what state or U.S. territory do you live?

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* 6. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 7. What are your personal email addresses?

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* 8. What are your work email addresses?

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* 9. What is your home phone number?

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* 10. What is your cell phone number?

We are attempting to collect information about our members places of employment in hopes of making connections regarding hiring of people with disabilities. We will NOT contact these employers or businesses without your direct consent.

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* 11. What is your current employment status?

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* 12. If applicable, please provide the name and address of the business you are currently employed with / own. We will NOT contact them without your consent.

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* 13. If applicable, what is the current employment status of your spouse/partner?

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* 14. If applicable, please provide the name and address where your spouse / partner is currently employed.

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* 15. Is your loved one with Down syndrome currently employed?

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* 16. If applicable, please provide the name and address where your loved one with Down syndrome is currently employed.

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* 17. If your loved one is employed, how did he/she acquire the position?

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* 18. May we contact your employer, your spouse's employer or your loved one's employer with more information about our initiative?

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* 19. Would you be interested in joining our Employment Initiative?

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* 20. If yes, please choose in what area you would be interested / able to assist

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* 21. May we contact you to discuss your interest in becoming involved?

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