Impact Form

Impact Form
Thank you for the important work you do to improve the lives of Texans with disabilities. We would like to learn about and feature the impact you are having in your community. Please complete this form to tell us about your continued advocacy efforts.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
What year did you graduate from Texas Partners in Policymaking? *
Please provide a detailed account of the work you are doing and the impact of your efforts. *
Has this activity been featured in the media? If so, please include a link to the content.
Is there a website, social media page, or social media post where others can learn more about this activity?
Upload any documents related to this work.

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