
Please save as a Word document, complete & return by e-mail to: president @ the504dems.org by June 5, 2009.
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)
Action Shows Commitment!
While in public office/or private life 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 judicial and political process?
Historically, the courthouses in which you work and offices of staff of District Attorneys are not all accessible to people with all kinds of disabilities. How have you addressed this issue to date? What is your strategy for implementation of complete accessibility? Please be specific as to time and dates.
What implementation strategy do you have for your future programs and legislation to help constituents with disabilities?
Will you commit to only attend or sponsor events that are accessible to people with disabilities?
General Questions
What personal and professional experience have you had with people with disabilities in your personal life and in the workplace?
What special accommodations do you believe/think are needed in the workplace/courtroom? Have you hired/will you hire persons with disabilities at all levels of responsibility in your office? Please list. Titles or types of position people with disabilities? Will you make this a policy of your office?
Are you willing to hire and use flex-time and job-sharing for people with disabilities? Will you make this a police of your office?
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 items and meetings on disabled community issues? Do you/or will you, have an active Disability Advisory Committee? Explain its duties, responsibilities and powers.
Has a person with a disability appeared in court as a defendant, juror or litigant? If so, please indicate what, if any, problems arose? And how were they handled?
Do you believe that a person who is deaf / hard of hearing or one who is blind / has low vision can serve as a juror?
What is your position on making marijuana available for medical purposes?
Do you believe that defendants with mental disabilities should be treated in a different manner than others? If so, how? If not, why not?
Civil Rights
Has/will your office prosecute personal care attendants who abuse their charges (disabled/ seniors)? Please cite case, and provide any advice on how to successfully prosecute these cases?
Date: ______________________