#MyAbilities Poster Campaign Application Form
Harmonie Richard (Lead Student Mentor and Academic Coach for Accessibility Services) and Elyse Cottrell (UPEISU Accessibility Representative) are launching a poster & twitter campaign in early 2015.

We are recruiting UPEI students, faculty and staff to be a part of it!

We're looking for 5 students/faculty/staff who are living with some kind of physical, hearing and/or vision, sensory, learning,  neurological or mental health/psychological impairment to be part of a poster campaign which will include their photo, what they are living with, and what abilities they have to bring awareness and reduce stigma.

We will be accepting responses until January 11th 2015.  
The five people would need to be available the second week in January to have their photos taken.


If you have any questions please e-mail Elyse at accessibility@upeisu.ca
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Your Name: *
First and last
Are you a: *
check all that apply
Required
What department are you affiliated with? *
example:  Biology, AVC, Soc/Anth, Computer Science, Student Affairs, Facilities, Ancillary etc.
Contact information *
e-mail or phone number (whichever you prefer)
Are you registered with Accessibility Services? *
please note: You do not have to be registered in order to participate.
What are you living with? *
For example what kind of physical, hearing or vision, sensory, learning, neurological, psychological/mental health impairment. Feel free to be specific.
What other abilities do you have? *
examples:  cooking, baking, sports, games, hobbies, talents... anything you're good at!
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