* 1. Which National Service program are you currently serving with?

* 2. Are you a:

* 3. What city or region is your primary service location?

* 4. When you applied to serve in your program were you aware of the availability of reasonable accommodations?

*Reasonable Accommodation
is any change in the work environment or in the way things are customarily done that enables an individual with a disability to enjoy equal employment opportunities. A reasonable accommodation must: be feasible or plausible for the employer. Enable the individual to perform the essential functions of a position.

Reasonable accommodation examples include auxiliary aids/services, CCTV, an amplified audio listening device, a sign language interpreter, materials on audio tape, enlarged text documents, or adjusted work schedules.

* 5. Do you consider yourself to be a person with a disability?  (The Americans with Disabilities Act defines disability as a physical or mental impairment that substantially limits one or more major life activities of an individual; a record of such an impairment; or being regarded as having such an impairment. For more definitions, visit: www.ada.gov

* 6. Please, check any of the following conditions that substantially limit one or more of your major life activities; if you have a record of or are regarded as having such impairment. Defintions at www.ssa.gov

* 7. Have you disclosed a disability to any staff persons in your organization? *Disclosure can happen in a number of ways, from an informal conversation to a formal, written request for an accommodation. It can also happen at any time during the term of service, but it should occur as soon as a person realizes they may need an accommodation.

* 8. If you have a disability, have you requested a reasonable accommodation for your term of service?

* 9. If you requested a reasonable accommodation was it provided by the program?

* 10. If provided, did the reasonable accommodation allow you to fully participate in the program?

* 11. Are you interested in learning more about disability inclusion?

* 12. If yes, what topics are of most interest to you?

* 13. Thank you for completing this survey! For more information, visit www.ada.gov and www.eeoc.gov. Please provide additional comments below: