Disability Mentoring Day Job Seeker Registration

Please follow directions in online form below to register for ONE of the local DMD events.

EACH PERSON attending MUST complete a registration.

Do not do an online registration if you have already submitted a paper registration.

Thank you to The Whole Person for hosting our DMD Online Registration Forms this year

DMD Job Seeker Registration Form

ALL Persons attending Disability Mentoring Day Events MUST complete and submit a SEPARATE Registration Form.

DMD Event you are registering for:
Choose 1 only
First Name
Last Name
(share city, state and zip code only)
(complete if applicable)
(complete if organization name provided above - provide address, city, state, zip and phone number)

Job Seeker or Student Questions Only

For statistical purposes only - DMD Kansas City DOES NOT share names and other personal information.

(check all that apply)
(if yes, provide name in text field below)

Reasonable accommodations may be requested if you register in advance.  Both DMD locations are fully accessible. Please bring your own personal attendant if needed.

Reasonable Accommodation Requests
(check if applicable)

Individual Help Sessions

Individual 10 minute sessions for "Resume/Application Assistance" and "Mock Job Interviews" will be offered during the event. Some employers, service organizations/providers and government agencies may be available after lunch. Professional attire is strongly recommended.

Please indicated below your interest in participating in either - or all - of these help sessions.
(check all that apply)

IMPORTANT!  When you hit the SUBMIT REGISTRATION button below, you should automatically see a confirmation message ON-SCREEN ~and~ you should automatically get an email sent to you to confirm that your registration has gone through. If you DO NOT get this, please scroll to the top of the page and complete any REQUIRED INFORMATION that you may have overlooked.

Direct any questions to DMDinKC@aol.com or to Brian Ellefson at 913-239-9776.