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Contact Us - Disability Awareness Month hosted by the President's Commission on Disability Issues (PCDI)
Please complete and submit this form if you would like to propose an event, workshop, presentation, performance, or any other activity.
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* Indicates required question
Your name
*
Your answer
Your email
*
Your answer
Your Department/Unit
*
Your answer
Phone Number (optional)
Your answer
Title of the event
*
Your answer
Please provide a short description of your event (less than 50 words). This will be used for informational flyers and other promotional material.
*
Your answer
Please provide a detailed description of your event (up to 150 words) that may be used on the PCDI website, calendar events, etc.
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Your answer
Event Date (if known)
MM
/
DD
/
YYYY
Event Time (if known)
Time
:
AM
PM
Location (if known)
Online
In Person
Undecided at this time
If event is in person, please provide the physical location.
Your answer
URL to event page and/or registration
Your answer
Are you requesting ASL and/or CART services for your event?
*
Yes
No
Not sure
Which service(s) will you be requesting?
ASL Services
CART Services
Both
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Will you be requesting financial support from PCDI to fund your ASL/CART service(s)?
Please note: Not all requests will be approved.
Due to limited funding, PCDI will review each request for financial support and provide an approval/denial response at the time of review.
Yes
No
Not sure
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