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Know Me, Know My Disability

Know My Disability submission form   | Know Me submission form

Our Know Me / Know My Disability campaigns were well received on our social media platforms by our:

  • Members
  • Potential allies 

That’s why we’re making these campaigns evergreen ones. They put faces and stories to NBCPD’s advocacy efforts.

If you’re ready to participate, take us along on your life journey. Make yourself heard. Fill out one or both forms today!

Know My Disability submission form

Use this form to tell us about:

  • Your disability, or disabilities, and how they affect daily living
  • Accessibility challenges
Your Name
One or more disabilities
Type of disability (check all that apply)
Three categories of disabilities
Daily living
Daily living
Daily living
Checking this box indicates your express consent. You can withdraw your sent at any time.
Express Consent
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Know Me submission form

Use this form to tell us about:

  • Your disability or disabilities
  • Daily living and accessibility challenges
  • Five things to know about you
Your Name
One or more disabilities
Challenges with daily living, employment, etc.
Challenges with daily living, employment, etc.
Please email a photo to info@nbcpd.org. Checking this box indicates your express consent. You can withdraw your sent at any time.
Express Consent