Disability Mentoring Day Coordinator Sign-Up, 2025

Thank you for your interest in hosting a Disability Mentoring Day event!

Please take a few minutes to complete this form to tell us about the event(s) you are hosting. By completing this form, you help AAPD measure the impact of Disability Mentoring Day across the country each year.
If your event is not completely finalized, feel free to note that in your response. We can provide planning support if you need it!

Please email Gabi Reyes-Acosta at dmd@aapd.com with any questions.
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Phone Number *
City and State *
Organization/Affiliation *
Event Title *
Event Date (if unsure, put today's date) *
MM
/
DD
/
YYYY
Event Start Time (it's ok to approximate) *
Time
:
Event End Time  (it's ok to approximate) *
Time
:
Time Zone of Event *
Event location or online platform you are using to conduct your event (feel free to write "in progress" if still finalizing)
 *
Are there any funding challenges or other challenges (venue, securing translators, etc) that you anticipate facing? If so, please describe. AAPD may reach out to you to see how or if we are able to support you in navigating these challenges.
 *
Event Description (general outline is ok)
 *
Link for more information about your event
 *
Promoting Your Event
To promote your Disability Mentoring Day (DMD) event with AAPD's network, please complete the form below. Once approved, your event will be added to AAPD's website and included in our online communications. While promotion is optional, we need complete information to approve your submission.

Please note:
If you have an accessible document with more information about your event please email Gabi Reyes-Acosta at dmd@aapd.com.

To learn more about the difference between a PDF versus an accessible PDF, check out this guide.
Are you seeking to promote your event with AAPD's network?  *

If you are seeking to engage more participants in your DMD event(s), AAPD will note that when publishing your event and will display the contact information you include below.
Who should prospective mentees, mentors, or employers contact to get more information about getting involved or attending? 

Please list a Name and Email.
Who should prospective mentees, mentors, or employers contact to with accommodation requests and accessibility questions? 

Please list a Name and Email. 
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of AAPD.

Does this form look suspicious? Report

Google Forms