Halifax Public Libraries: Accessibility Advisory Committee Application For more information about the Accessibility Advisory Committee, please click here. "*" indicates required fields Step 1 of 4 25% Contact Information1) Name* First Last 2) Preferred Name 3) Personal Pronoun She He They Other 4) Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 5) Phone6) Email* 7) How would you like us to contact you?* Email Phone Voice/TTY 8) How did you hear about the Accessibility Advisory Committee? Friend Organization Social media Library website Advertisement Other Interest9) Why are you interested in participating in this committee? Experience10) My experience is best described as:* Lived experience Experience as an advocate for a friend or loved one Work experience with an accessibility-related group or organization Other 11) Are you a person who lives with a disability or impairment?* Yes No 11b) Under which category does your disability fit?*Please select all that apply. Mobility and Physical Intellectual or Learning Psychiatric Visual Hearing Neurological 12) Are you a member or employee of an organization representing people with disabilities?* Yes No 12b) Which organization?* 13) Do you have experience working with people of varying abilities? Yes No 13b) Will you please share one example of where you worked or volunteered and briefly outline your role and responsibilities?14) Do you have experience serving on a board or advisory committee? Yes No 14b) Please Describe your experience serving on a board or advisory committee.15) Please indicate which of the following areas you have knowledge and understanding of, as they relate to accessibility and accessible practices:*Please select all that apply. Built environment Education Employment Goods and services Information and communications Transportation AvailabilityThe Committee meetings are held the first Wednesday of the month at 4pm. Members of this committee must be able to commit to approximately 1.5 hours of volunteer time per meeting, 8 times per year.16) Are you able to commit to attending 8 meetings per year?* Yes No Application DeadlineJuly 15, 2023 at 11:59PMNameThis field is for validation purposes and should be left unchanged.
