DAI Training Registration for AZYLF Graduates

Diverse Ability Incorporated Training Registration Form

For Arizona Youth Leadership Forum (AZYLF) Graduates
Diverse Ability Incorporated provides graduates of the Arizona Youth Leadership Forum (AZYLF) training opportunities designed to enhance their skills, boost their confidence, and increase their impact.

Please complete this form to register for upcoming training opportunities. If you have any questions or concerns, please email the pbs4youth inbox.
Training Selection

Please answer the following question, and the available training opportunities will be displayed.
YesNo
Arizona Youth Engagement Academy (AZYEA)Person-Centered Planning RefresherSkills to Pay the Bills (Participant)Skills to Pay the Bills Facilitator Training
Arizona Youth Engagement Academy (AZYEA)
This hands-on training teaches youth and young adults how to be leaders and support their peers. Participants learn skills in presenting, public speaking, and peer-to-peer facilitation. They also receive training to help with Person-Centered Planning.

Open to: Any AZYLF graduate who has not taken this training before or wants a refresher.
Note: Attending does not guarantee paid work with Diverse Ability Incorporated.
We currently do not have any training dates scheduled. Please select this option to be notified when new dates become available.
YesNo
You must complete the Arizona Youth Engagement Academy before you can register for this training.
Person-Centered Planning (PCP) Refresher
Anyone who plans to lead Person-Centered Planning should take a PCP refresher each year. This training helps participants learn new strategies, improve their skills, and share experiences with others.

Open to: AZYEA graduates who want to refresh their PCP skills.
Required for: Anyone working with DAI to facilitate programs in schools.
We currently do not have any training dates scheduled. Please select this option to be notified when new dates become available.
Skills to Pay the Bills (Participant)

This training helps young people build important workplace and professional skills. It focuses on six key areas:
- Communication
- Enthusiasm & Attitude
- Teamwork
- Networking
- Problem-Solving & Critical Thinking
- Professionalism
Open to: Students* ages 14–22 with a documented disability* who live in Arizona.
Requirement: AZYLF graduates must complete this training before taking the Skills to Pay the Bills Facilitator training.

*High school, college, university, certificate program, other post-secondary training program, etc.
**Documented disability may include an IEP, 504 Plan, or medical documentation of a disability or diagnosis.

To register for a Skills to Pay the Bills (Participant) training, please visit our Skills to Pay the Bills Registration Form.
YesNo
You must complete the Skills to Pay the Bills training as a participant to qualify for the Skills to Pay the Bills Facilitator Training. To register for a Skills to Pay the Bills (Participant) training, please visit our Skills to Pay the Bills Registration Form.
Skills to Pay the Bills Facilitator Training
This training prepares young people to lead the Skills to Pay the Bills curriculum and guide interactive activities.

Open to: Individuals who have completed the Skills to Pay the Bills Participant training.
We currently do not have any training dates scheduled. Please select this option to be notified when new dates become available.
Young Adult Information
First Name*
Last Name*
Email*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
What county do you live in?*
Date of Birth*

MonthDayYear
I am a high school student (public, private, charter, home school)I am 22 or younger and enrolled in a post-high school education or training program (college, university, certificate, etc.)I am not a studentI am not 22 or younger
High School Student ID Number*
Expected High School Graduation Date*
Month and Year
Post-Secondary Program Graduation/Completion*
Month and Year
What is your disability/are your disabilities?*
YesNo
Parent/Guardian Information
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Accommodation Request
We are committed to making our events accessible to everyone. Please describe any disability accommodations needed to participate in this event. Note: Advance notice may be required to arrange for some accessibility needs.
Allergies and Dietary Restrictions
Please list any allergies or dietary restrictions:
Media Consent and Release
Please read the Media Consent and Release terms and conditions from Diverse Ability Incorporated and type your name in the provided space to confirm your understanding and agreement.

I acknowledge, understand, and accept, in consideration of my participation in Diverse Ability Incorporated events and activities, the following conditions:
- My activities, image, statements, and likeness may be photographed, recorded, or otherwise documented throughout the event.
- My photographs, recordings, images, and other documentation (collectively referred to as “Content”) may be utilized now or in the future for purposes such as event promotion, organizational promotion, cause-specific advancement, advertising, or other related marketing and publicity.
- The Content may be utilized on associated social media accounts, websites, brochures, flyers, recruitment materials, or included in advertising materials, whether currently known or created in the future.
- I give Diverse Ability Incorporated permission to edit, modify, copy, display, publish, or distribute the Content for any lawful purpose. Furthermore, I waive any right to review or approve the final product that features my likeness.
- I grant Diverse Ability Incorporated permission to use my first name alongside the Content with my likeness.
- I agree that I will not receive monetary or other compensation for the use of my Content in any materials now or in the future.
- I willingly give up my right to claim ownership of my image, likeness, or any related documentation, and I will not assert any intellectual property or other legal rights regarding it.
- I voluntarily agree to release any and all claims and legal remedies related to the use of my image, likeness, or otherwise, including those based on negligence. This authorization and release will also extend to the partners of Diverse Ability Incorporated.
- I agree that this release will remain valid until I revoke it in writing. I understand that any revocation will not apply to Content already posted or distributed by Diverse Ability Incorporated.
- If I wish to revoke this release at any time, I understand that I must submit a written request to Diverse Ability Incorporated. Furthermore, I know that this revocation will affect the future use of the Content, but I cannot retract Content already posted.
  - For revocation requests, please contact us via email at admin@diverseabilityincorporated.org or send mail to Post Office Box 46316, Phoenix, AZ 85063.
By typing my name, I attest that I, the participant, have read the release before signing and fully understand its contents, meaning, and implications. I acknowledge that I have the right to ask any specific questions about this release in writing before signing. I agree that my failure to do so will be seen as a voluntary and informed acceptance of its terms.
Participant First and Last Name
YesNo
By typing my name, I attest that I, the parent or legal guardian of the young adult named above, have read the release before signing and fully understand its contents, meaning, and implications. I acknowledge that I have the right to ask any specific questions about this release in writing before signing. I agree that my failure to do so will be seen as a voluntary and informed acceptance of its terms. (Required if the participant is under 18 or legal guardianship.)
Parent/Guardian First and Last Name
Optional Funding Questions

These questions are for funding and grant purposes. You can choose to answer them or not; either way, it will not affect how we consider your application. If you do answer, your responses will help Diverse Ability Incorporated continue to provide free and low-cost programs for youth and young adults who have disabilities. Your answers are confidential, meaning we will not connect your name or any other part of your application to your responses. Thank you for your support!
YesNoI don't know. I’d like to speak with someone.
YesNoI don't know. I’d like to speak with someone.
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If you have difficulty completing this online form, please email us or call 602-425-5135.
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Diverse Ability Incorporated Training Registration Form

Training Selection

Young Adult Information

Parent/Guardian Information

Accommodation Request

Allergies and Dietary Restrictions

Media Consent and Release

Optional Funding Questions