Please ensure Javascript is enabled for purposes of website accessibility

PIP Application

  • The following questions are designed to ensure diversity in the selection of participants for the FDDC’s Partners in Policymaking™ Advocacy and Leadership Program and are required by the Council's federal funding agency, the Administration on Intellectual and Developmental Disabilities. Your information will not be reported individually; rather, total numbers are submitted for each of these factors.
  • References

    Provide two references (include name, email address, and phone number)
  • (Call their office to obtain direct email address)
  • (Call their office to obtain direct email address)
  • MM slash DD slash YYYY
  • Reset signature Signature locked. Reset to sign again
Translate »
Scroll to Top