If you would prefer to answer the questions by telephone or Skype, or have any other access requests or questions please email Miriam Steiner on email@example.com.
You must answer all the questions marked with an asterisk (*).
By providing the information below, you are consenting to us using it to plan the facilities we provide in the programme. We will accommodate all needs in the programme. It will not be used to exclude applications.
As part of the programme you will be required to attend a launch event on Thursday 18 July and a 3 day residential training event from Friday 9 August to Sunday 12 August.
Please use these questions to explain to us why you want to get involved in the programme. We want to know why you are passionate about campaigning for disability equality and what you want to achieve.