NAD - deaf@work identification

In order to appropriately identify you and share correct information, we need your help before we release your video. We also need your preferred way of identification to create the video description for accessibility.

Who interviewed you?*
Preferred name*
First Last
Email*
Where are you?*
City State
Your job title*
What do you do at work?*
How would you like us to tell people what you do exactly?
If your job requires, what certificates, degrees, background do you have?
Did you take a special course, attend training, or finish a degree in order to get this job?
Preferred description of yourself*
Consider race, age, gender, etc. [ex: young Latinx person].
If you want us to tag you on social media, please fill out the fields below.
Facebook
LinkedIn
Twitter
Instagram
Any other information we should include when we release your video?