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First Name
Last Name
Email
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Organization name (Please input the full name of your organization, properly capitalized, without acronyms. e.g., instead of UT AUSTIN please type The University of Texas at Austin) No organization? Enter "None"
Administrator/Director
Disability Services Professional (DSS)
EFC | State Team Lead
Employee
Employer
Instructor/faculty (Postsecondary)
Interpreter/transliterator
Media professional/journalist
Parent/family member
Speech-To-Text Professional
Student (College)
Student (K-12)
Teacher (K-12)
Transition coordinator/specialist
Veteran
Vocational rehabilitation counselor/professional
Other
City- Please enter city ONLY
State- Please capitalize and enter full name, e.g. Alabama
UT GEAR UP(Only check this box if you are in the UT GEAR UP group)
If you are located in a place other than the US, please tell use where.
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