Community Listening Session - Gresham, OR

Join us for our Disability and Health Listening Session in Gresham!

Disability and Health Listening Session

Monday, April 22

11:30am-4:00pm

Lunch is provided.

Location:
Multnomah County East Building
600 NE 8th Street

Gresham, OR

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* 1. First name

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* 2. Last name

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* 3. E-mail Address

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* 4. Phone Number

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* 5. City

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* 6. Please select one of the following categories that best describes you and/or your role. If not listed here, please select "Other" and fill in the name of your position.

Case Manager, Service Coordinator, or Personal Agent

Employment Professional

"Front Line" Professional (Foster Care Provider, Direct Support Provider, Personal Support Worker)

Agency/ Company Management

Self-advocate/Community Member

Parent or family member of person with I/DD

Other (please specify)

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* 7. If you have any accommodation needs to participate in any of the events please list them below.
Accommodations requested after March 31st are not guaranteed.

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* 8. Please tell us if you have any dietary preferences.

Vegetarian

Vegan

Gluten-free

Dairy-free

Other (please specify)

Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. E-mail Address

Question Title

* 4. Phone Number

Question Title

* 5. City

Question Title

* 6. Please select one of the following categories that best describes you and/or your role. If not listed here, please select "Other" and fill in the name of your position.

Question Title

* 7. If you have any accommodation needs to participate in any of the events please list them below. Accommodations requested after March 31st are not guaranteed.

Question Title

* 8. Please tell us if you have any dietary preferences.

* 7. If you have any accommodation needs to participate in any of the events please list them below.
Accommodations requested after March 31st are not guaranteed.