Advocacy Roundtable
This virtual meeting meets every second Tuesday of the month from 12-12:45pm. Meet other disability advocates, share your disability interests and successes, and brainstorm future action steps.
Email
*
example@example.com
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What Massachusetts region do you live in? (Find your region at https://www.familyleadershipma.org/family-leadership-series/dds-regions
*
Please Select
Northeast
Central
Metro
Southeast
West
Out-of-State
What is your city/town?
*
Are you a graduate of the Family Leadership Series
*
Yes
No
What is your ethnicity/race?
*
Black/African-American
White/Caucasian
American Indian/Indigenous or Alaskan Native
Asian
Native Hawaiian or other Pacific Islander
Hispanic/Latino/Latinx
Middle Eastern/ North African
Prefer not to say
Other
If Other, please specify
What language do you prefer to Speak/Listen/Read?
*
English
Other
If Other, please specify
This program is presented in English. Do you require translation and interpretation?
Yes
No
Please share anything that would help you better participate in the Roundtable (i.e. closed captions, etc)
Submit
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