New Member Recruitment Survey

Thank you for your interest in volunteering with the Department on Disability Services (DDS) to serve on a committee or join a Council. This survey will help match you to opportunities based upon your interests. A DDS staff person will follow-up with you.

First and Last Name

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* 1. First and Last Name

E-mail Address

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* 2. E-mail Address

Phone Number

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* 3. Phone Number

The following advisory councils and committee requires members to be a resident of the District of Columbia:

Developmental Disabilities Fatality Review Committee (DD FRC)
State Independent Living Council (SILC)
State Rehabilitation Council (SRC)


Are you currently a resident of the District of Columbia?

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* 4. The following advisory councils and committee requires members to be a resident of the District of Columbia:

Developmental Disabilities Fatality Review Committee (DD FRC)
State Independent Living Council (SILC)
State Rehabilitation Council (SRC)


Are you currently a resident of the District of Columbia?

Council of Interest (Select all that apply)

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* 5. Council of Interest (Select all that apply)

Membership Category of Nominee (Select all that apply)

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* 6. Membership Category of Nominee (Select all that apply)

Why do you think you would be a good candidate for the council(s) or committee(s) you selected?

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* 7. Why do you think you would be a good candidate for the council(s) or committee(s) you selected?

Describe a time you stood up for yourself, a family member, or someone else.

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* 8. Describe a time you stood up for yourself, a family member, or someone else.

What is something you wish you can change about how people with disabilities are treated?

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* 9. What is something you wish you can change about how people with disabilities are treated?

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