Full Name (Required)

e-mail (Required)

Position (Required)

Organization/Institution (Required)

Phone (Required)

TTY

Fax

Address (Required)

Address Line 2

City (Required)

State/Provence

Country (Required)

Zip/Postal Code (Required)

What personal Information do we have your permission to share with other colleagues looking for advice? (Required) Name
Position
Organization
Phone
TTY
Fax
Email
Address
Disability

Briefly describe your program(s) (Required)

What types of disabilities have you worked with? (Required) ADD  AD/HD  Amputee  Arthritis  Asperger's Syndrome  Autism  Blind  Cerebral Palsy  Chronic Health Condition  Cognitive  Deaf  Deaf/blind  Diabetes  Epilepsy  Hearing Impaired  Learning disability  Mobility Impairment  Paraplegic  Psychiatric Disability  Quadriplegic  Spinal Cord Injury  Traumatic Brain Injury  Visual impairment  Other

What types of accommodations have you worked with or provided to participants (Required) Accessible Lodging  Accessible Classroom  Augmented Communication device  Audio Books  Braille  Cane  Crutches  Electronic Text  Extra Time  Guide Dog/Service Animal  Large Print  Laptop computer  Manual Wheelchair  Note taker  Personal Assistant  Power Scooter  Power Wheelchair  Sign Language Interpreter  Shower Chairs  Walker  Wheelchair Ramps  White Cane  Other

If you checked "Other" under disabilities work with or accommodations provided please explain

If your program(s) include postsecondary students, how have you collaborated with Disabled Student services or other offices on campus regarding the participation of students with disabilities?

What Disability organizations do you work with/use as resources in the United States or abroad?

What tips do you have for working with overseas partners and staff?

Please describe who was involved and what was done to resolve administrative issues such as funding, insuranc, working with Vocational Rehabilitation and the Social Security Administration, or other matters.

What solutions to accessibility barriers did your national and overseas staff discover or develop?

What solutions did the participant develop on his/her own?

How did the NCDE help?

Think about the entire process ( Recruitemt, application, pre-departure, program participation and reentry), what recommendations would you like to share with your colleagues?

How have participants been involved with your program upon returning? (Required) Evaluative feedback  Giving presentations  Recruiting  Success Stories  Work study in your office  Internships in your office  Other

If you checked other please describe how alumni are involved with your program