#DeafAtWork

Full Name *

Email Address *

Pronouns: *

Examples: he/she/them/ze/xe

State or U.S. Territory *

Current Job Title/Position *

Did you need training and/or a degree for this position? *

Yes

This includes any workshop or continuing education courses you had to do for your job

What type of training and/or degree did you need for this position? *

What advice would you give to others about how you handled barriers while applying, being hired, and during your current job? *

We are committed to making our materials accessible to individuals who are DeafBlind and Blind so we use image and video descriptions. We’d like to know how you’d like to be described in terms of your identities. (If you have no preference, you can leave this section blank)

Example: [Biracial deaf man with short brown hair, salt & pepper beard, dark blue short sleeve button-up sits and looks at camera.]

Please, submit a picture of yourself at work. *

Note: headshots or images of yourself doing something that is UNRELATED to your work will not be accepted.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

By submitting your photo, you allow NDC to use the information provided for educational purposes in and outside of social media.