Disability Awareness Interest Form

WDSRA’s Disability Awareness Program is a hands-on training experience that helps students by providing general awareness and information about individuals with disabilities and explore their feelings and values to become comfortable with the unique needs of others. The program will help dispel myths and provide facts about various disabilities and educate the school community about how to assist individuals who have special needs. WDSRA promotes sensitivity, acceptance and understanding of different perspectives. Through interactive, hands-on learning activities students will experience how it may feel to have a disability, how to interact with someone with a disability, how to recognize everyone’s unique abilities, and proper terminology to use at school and in the community.

Contact Name(Required)
Address
Communities Served
Please check off any/all communities students/participants reside within.
Stations
Please indicate which stations you are interested in having presented.
Please indicate your first date preference
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Please indicate your second date preference
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Please indicate your third date preference
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Start Time
Please indicate the time you would like the first rotation to begin
:
End Time
Please indicate the time you would like the last rotation to end
: