2019 DMD KC Employer, Service Organization and Government Agency Registration

This registration page is for Employers, Service Providers and Government Agencies who wish to have a table at one/both of the 2019 Greater Kansas City Disability Mentoring Day Events.

DEADLINE to submit registration and pay fees is as follows:

  • Kansas Event, Friday, October 2, 2019
  • Missouri Event, Wednesday, October 18, 2019

Cost per Event Table Space

  • Employers - $200 per event, or $350 for BOTH EVENTS
  • Service Organizations and Government Agencies - Fee is waived/no cost
  • Each Employer, Service Organization and Government Agency receives 2 free lunches if registration received before deadline.

Special Prices for Small Business!

  • 30-50 Employees - $50 per table
  • Less than 30 Employees - $25 per table

You’re invited, and encouraged, to network with other employers, service providers and government agencies from 10:30am until 11:30am, enjoy a free lunch at 11:30am or listen to job seeker presentations. 

Submit payment to DMD, c/o Brian Ellefson, 15503 Marty St., Overland Park, KS 66223; or PayPal is available, contact Brian Ellefson, 913-239-9776 for details


The submission of this form informs DMD KC organizers of your intention to attend and submit payment for a secured space at the event(s) of your choice.  You are responsible to contact Brian Ellefson at 913-239-9776 or briman3@kc.rr.com, to process this payment.  Thank you!!

Disability Mentoring Day is a public event open to the media.  Photographers and video cameras may be present at either event.

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

CLICK HERE to return to the DMD KC website

DMD Employer, Service Organization & Government Agency Registration


DMD Event you are registering for:
Are you registering as:
Check one
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Address Line 1
City
State
Postal Code

Please provide the names of up to TWO representatives. Each company or organization receives 2 free lunches if registration received before deadline.
Please provide the names of up to TWO representatives. Each company or organization receives 2 free lunches if registration received before deadline.

IMPORTANT When you hit the SUBMIT REGISTRATION button below, you should automatically see a confirmation message ON-SCREEN indicating that your registration has gone through.  You will also 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.  DMD KC is not responsible for any registrations that were not submitted due to user error.

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