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* 1. Name and address of Parish?

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* 2. Parish Vicariate or Region?

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* 3. Name of Parish Family?

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* 4. Name of person filling out this survey?

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* 5. Title of person filling out this survey?

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* 6. Can we contact you for more information?

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* 7. Does your Parish have a Catholic School?

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* 8. Does your Parish have a person responsible for ministries for persons with disabilities?

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* 9. If your Parish has a coordinator (or person responsible) for persons with disabilities, what is their name and title?

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* 10. If your Parish has a program for persons with disabilities, please list the number of candidates, their approximate ages, and if you know their disability?

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* 11. What accommodations does your Parish provide for persons with disabilities (check all that apply)?

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* 12. Does your Parish include candidates with known disabilities in Faith Formation or Sacramental Preparation classes?

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* 13. If your Parish has a program for persons with disabilities, what materials do you use? Please describe below( e.g. Loyola Press adaptive kits for Sacramental preparation, etc)?

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* 14. If you have a program for persons with disabilities, how do you communicate it (check all that apply)

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* 15. If you provide Sacramental preparation for persons with disabilities, how is this provided (check all that apply)?

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* 16. Do persons with disabilities serve in parish programs? (Check all that apply)?

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* 17. If you offer programs for persons with disabilities, how are catechist typically trained (check all that apply)?

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* 18. If you offer a program, are the catechist(s) certified to teach religion or to prepare for sacraments (check all that apply)?

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* 19. If you offer a program for persons with disabilities, to what degree are parents involved?

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* 20. Are you interested in guidance or resources from the AOD to help with your programs for persons with disabilities (check all that apply)?

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