Scholarship Application 2017

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Application
Thank you for applying to be a Disability Ambassador through WID and JPMorgan Chase's Conference Accessibility Initiative. We look forward to learning more about you. If you have questions, visit our Conference Accessibility Initiative webpage or reach out to us at conferenceaccess@wid.org
4. Disability Ambassador Requirements:
  • A person with a disability who is willing to represent disability as it relates to the event (e.g. disability and civil rights; disability and community building etc.)
  • Someone willing to be recorded answering questions about his/her experiences at the event for a promotional video
  • Someone willing to be photographed at the event
  • Someone willing to engage in social media during the event
Note: At this time, we cannot support international Disability Ambassadors.

I understand my requirements as a Disability Ambassador. *This question is required.
5. Disability Ambassador Perks:
  • Paid event registration
  • Paid hotel
  • Paid travel to and from the event
  • Disability accommodations and support
Note: Disability Ambassadors’ perks do not include food (per diem) or daily travel during the event.

I understand my perks as a Disability Ambassador. *This question is required.
6. Responsibility Agreement:
All Disability Ambassadors agree to communicate in a timely manner with the World Institute on Disability staff in order to book their hotel and travel arrangements and complete their event registration. If a Disability Ambassador can no longer attend the event for any reason and his/her hotel and travel have already been booked, he/she agrees to pay 50% of all fees to the World Institute on Disability within 30 days.

I understand this agreement. *This question is required.
7. Which event are you interested in attending?

Note: Choose one. If you are interested in more than one event, you must submit a separate application for each event. *This question is required.
11. What disability do you have?

Note: Check all that apply. *This question is required.
12. What type of mobility aid do you use?
12. Do you use ASL?
12. What kinds of accessibility accommodations will you need for this event? *This question is required.
13. Will your personal care attendant join you for the event?

Note: We need to know how many registration badges you will need.
13. How did you hear about this scholarship opportunity? *This question is required.