Organization Application
Thank you for your interest in the WITH Fellowship!

WITH is a program of The Disabled List, which is a self-advocacy organization that creates disability-led opportunities in design publics and practice.

Filling out this form is not a commitment, but rather the start of a conversation. We work comprehensively with fellows and organizations to facilitate thriving partnerships.

Applications are due on December 17, 2018 and selections will be announced on January 7, 2019. The paid 3-day a week fellowship begins on February 4th and runs through April 29, 2019.

If you have any questions, we can be reached at with@disabledlist.org.

Please visit disabledlist.org/with for more information.

Thank You!

Email address *
Contact Name *
Your answer
Organization Name *
Your answer
Organization Website
Your answer
What does your organization hope to get out of hosting a WITH Fellow?
Your answer
Name some organizational goals your WITH fellow can help achieve.
Your answer
Are you curious about understanding your organization through disability? Name a project (or two) your WITH fellow could work on during their Fellowship.
Your answer
Aside from projects, how will your organization partner with your fellow on professional development? How might your organization augment your fellow’s creative network and vision?
Your answer
Are you interested in hosting a part-time (three days per week) WITH Fellow from January 7 to March 31, 2019?
WITH fellows are paid employees throughout the Fellowship. We offer two models for payment: Full sponsorship (organizational cost: $4,000) and partial sponsorship (organizational cost: $2,000; The Disabled List matches your contribution with a $,2000 stipend). Which model best describes your budgetary capacity for 2019? *
Required
What questions do you have about the WITH Fellowship?
Your answer
How did you hear about us?
Your answer
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