Thank you for organizing a Disability Mentoring Day (DMD) event!
Please take a few minutes to complete this reporting form to tell us about your event. By completing this form, you help AAPD measure the impact of Disability Mentoring Day across the country each year. If you held more than one event, please fill out a new form for each different event.

Please email Gabi Reyes-Acosta, Programs Manager, at dmd@aapd.com with any questions.

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* 1. Name

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* 2. Phone Number:

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* 3. State:

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* 4. City:

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* 5. Organization/Affiliation:

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* 6. Disability Mentoring Day Event Title:

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* 7. Date of your DMD event:

Date

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* 8. Event location or online platform you used to conduct your event (for example, Zoom, Google Meet, etc):

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* 9. Number of participants/mentees (students and job seekers with disabilities):

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* 10. Please provide a brief description of your DMD event(s). This can include a general agenda, what your main activities were, etc:

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* 11. Did you encounter any challenges while organizing your DMD event? This information will help AAPD provide more appropriate resources and address obstacles for future DMD events.

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* 12. Did you collect any surveys or feedback information from mentors, mentees, or partners during this event?

 
 33% of survey complete.

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