Candidate Name:

Contact Person:

If there is a Campaign office, is it wheelchair accessible?

Campaign Address:
Phone:
Fax:
Address:
Email:
Website:

Endorsements: (Political, Community & Labor)

1. Action Shows Commitment!

    

   1. While in public office/prior to this campaign, what have you accomplished in regard to advancing disability rights? This can include work towards accessible housing, transportation, employment, health care, education, and including people with disabilities in the political process?

       

       

   2. Will you commit to only attend / sponsor events that are accessible to people with disabilities (PWDs including providing written materials in alternate formats, providing assistive listening systems, and sign language interpreters as well as ensuring that locations are physically accessible)?

       

       

2. General Questions

    

   1. What personal and professional experience have you had with people with disabilities in your personal life and in the workplace?

       

       

   2. What type of jobs would you be willing to hire and to provide reasonable accommodation (e.g. flex or part time) for staff members with disabilities?

       

       

   3. How do you propose your active involvement/availability to the disability community? Will there be a specific person in your office responsible to this community? Will have regular office agenda meetings on these issues? What would you do to have direct contact with our community?

       

       

   4. Would you assure that City contractors maintain program access to persons with disabilities?

       

       

   5. Would you support the inclusion of preferences for businesses owned by persons with disabilities to those who are owned by women and/or other minorities?

       

       

Date: ______________________