Accessibility Assessment Application

Accessibility Assessment Application
Organization or Business:
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Address of Project Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Annual Visitors
Describe your products and services
How will this assessment assist you in reaching your accessibility goals?
Describe your current accessibility efforts (Current Accessibility efforts are not required)
Pick the description(s) that best describe your location*

LodgingRestaurantParkOutdoor AttractionHistorical SiteMuseumArt GalleryOther
Should be Empty: