Alabama Disabilities Advocacy Program (ADAP)
Advisory Council Application

Greetings!

As required by federal law, ADAP has advisory councils for its PADD Program (Protection and Advocacy Program for Individuals with Developmental Disabilities) and its PAIMI Program (Protection and Advocacy Program for Individuals with Mental Illness).

If you are committed to supporting the legal rights of persons with developmental disabilities or persons with mental illness or emotional disabilities, we welcome your application to serve on one of our councils.

To apply, please fill out the application below.

If you have any questions about the application or need help, contact ADAP at (205) 348-4928 or by email at adap@adap.ua.edu.

Question Title

Please provide us with your name and mailing information:

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Question Title

Please provide your contact information.

Home Phone:

Work Phone:

Cell Phone:

Email Address:

Best Time to Call

Question Title

Which ADAP Advisory Council do you want to be a member of?

Protection and Advocacy on Behalf of Individuals with Developmental Disabilities (PADD) Council

Protection and Advocacy on Behalf of Individuals with Mental Illness (PAIMI) Council