AUCD Website Review Committee

Please complete the form below and submit by Friday, December 29. All applicants will be notified by Wednesday, January 10.

Question Title

* 1. What is your first and last name?

Question Title

* 2. You identify as a(n) - - select all that apply**

UCEDD faculty/staff

LEND faculty/staff

IDDRC faculty/staff

Trainee/student

Family Member

Self-Advocate

Other (please specify)

Question Title

* 3. How would you describe your professional level?

Senior

Mid-Level

Entry-Level

Student

Other (please specify)

Question Title

* 4. Why are you interested in being a part of the AUCD Website Review Committee?

Question Title

* 5. What do you feel that you would make a positive contribution to the AUCD Website Review Committee?

Question Title

* 6. What do you hope to gain by being a part of the AUCD Website Review Committee?