Faculty Friends Interest Form If you are interested in being a part of Faculty Friends, please complete the following form.
Thanks!
I am interested in being a part of Faculty Friends.
I have experience in the following disability areas (check all that apply):
mobility impairment
hearing impairment
visual impairment
chronic medical condition
learning disability
ADD/ADHD
psychiatric disability
other:
I am interested in learning more about (please specify disability category/ies)
Other comments/questions:
Name:
Department:
Telephone#:
Email address:
Campus address: