Registration Form

Disability Owned Virtual Convening, November 20 - 21, 2024: 12.30 PM to 5 PM ET

All personal data will be kept confidential, and we will not share individual demographic data with any third party. National Disability Institute (NDI) collects data to help secure future funding to create programs that serve the community.

First Name - required*

Last Name - required*

Email Address - required*

State/Province - required*

Organization

Job Title

Agency affiliation - required*

Are you currently in business? - required*

Annual Revenue - required*

Industry - required*

Do you or someone in your household have a disability? required*

ASL Interpretation and captioning will be provided for all sessions. If you would like to request an accommodation to participate in this convening, please specify in the space below.

Gender Identity - required*

L-G-B-T-Q-I-A+ - required*

Military Service - required*

I would like to subscribe to the small business mailing list. - required*

By participating in this Convening hosted by NDI, you automatically agree to authorize recording of audio and visual content presented during the live event and consent to subsequent use of the recording in the public domain by NDI. The audio and visual recording of the live webinar includes documents and materials exchanged or viewed during the live event; questions asked, and poll answers provided by you during the live event; the closed captioning transcript; and the chat box transcript. - required*