DAWN Organizational Email Sign-Up

Organization: 
E-Mail Address: 
Contact First Name: 
Contact Last Name: 
Address:  
City:  
State:  
Zip: 
Day Phone:   (XXX.XXX.XXXX)
Evening Phone:   (XXX.XXX.XXXX)
Fax:    (XXX.XXX.XXXX)

Organizations will receive information about the following interest areas:

• Adults' Issues, such as Community Options Program (COP), Community Integration Program (CIP), Family Care, Community Aids, Brain Injury Waiver, Medicaid Personal Care, Waiting Lists
• Children's Issues, such as Birth to Three, Family Support, Long Term Care Redesign, Medicaid Personal Care, Waiting Lists
• Accessibility, such as ADA
• Direct Service Workers (those who provide direct services to people with disabilities)
• Education
• Employment for people with disabilities
• Housing
• Medicaid Services and Other Health Care
• Mental Health/Mental Illness
• Respite Care
• Transportation

Our organization pledges to:

Send the information to our constituents
Allow individuals to use our computer system to get e-mail
Provide transportation for events and for voting when possible
Register people to vote
Organize people to attend candidate forums and other events

Other activities:

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