Disability:IN Engagement Request Form

Inclusion Work Membership Level:

First Name:

Last Name:

Title:

Email (please use your corporate email):

Disability:IN Custom Solutions

Disability:IN Guest Speaker ($5,000 virtual/in-person; plus travel and expenses for in-person) or Senior Executive Subject Matter Expert ($7,500 virtual/in-person; plus travel and expenses for in-person)- Opportunity for a member of the Disability:IN team to join a fireside chat, panel discussion or serve as a keynote speaker; does not include the development and delivery of presentation slides and supporting materials.Disability:IN Course Catalog Training ($5,000)- A 60-minute standardized virtual session with an expert disability inclusion facilitator covering a topic of your choice from our ever-expanding Course Catalog with time for Q&A; includes one 30 minute prep session.Custom Disability Inclusion Training Development & Facilitation ($10,000)- A 60-minute custom virtual session designed and delivered by an expert disability inclusion facilitator created to cover a focus area of your choice with time for Q&A; includes up to 90 minutes of prep time.Disability Index Executive Debrief ($5,000)- A 60-minute virtual session with a disability inclusion subject matter expert featuring company-specific, customized insights and recommendations for advancing your disability inclusion strategy, based upon your Index results.Research Workshop ($5,000 virtual/in-person; plus travel and expenses for in-person)- A 60-minute standardized interactive workshop led by a Disability:IN researcher, including an overview of key findings from a select Disability:IN research project with actionable recommendations.Research Business Impact Briefing ($7,500 virtual/in-person; plus travel and expenses for in-person- A 90-minute private presentation of key findings from a Disability:IN research project for internal stakeholders, including analysis of business implications and tailored recommendations.Disability:IN Consulting (starting at $5,000 for 10 hours)- Access disability inclusion experts through flexible, custom consulting packages tailored to your unique goals; support efforts such as policy review and program design with actionable insights and toolkits.Executive Custom In-Person Events ($10,000 plus travel and expenses)- Host an immersive disability inclusion experience presented by a senior Disability:IN executive who combines disability lived experience with decades of practical corporate knowledge to create a one-of-a-kind learning moment for your organization.User Experience Reviews (starting at $10,000 virtual/in-person; plus travel and expenses for in-person)- Leverage insights from the lived experiences of people with disabilities to identify barriers and improve the accessibility and inclusiveness of your products and services.Disability:IN Asia Pacific (APAC): Global Journey to Disability Inclusion for Business Sponsorship (starting at $15,000)- Sponsorships may include reserved seating, speaking opportunities, and recognition.

Inclusion Works Engagement Opportunities

Disability:IN Guest Speaker ($5,000 virtual/in-person; plus travel and expenses for in-person)

or Senior Executive Subject Matter Expert ($7,500 virtual/in-person; plus travel and expenses for in-person)- Opportunity for a member of the Disability:IN team to join a fireside chat, panel discussion or serve as a keynote speaker; does not include the development and delivery of presentation slides and supporting materials.

Custom Disability Inclusion Training Development & Facilitation ($10,000) - A 60-minute custom virtual session designed and delivered by an expert disability inclusion facilitator created to cover a focus area of your choice with time for Q&A; includes up to 90 minutes of prep time.

Disability Index Executive Debrief - A 60-minute virtual session with a disability inclusion subject matter expert featuring company-specific, customized insights and recommendations for advancing your disability inclusion strategy, based upon your Index results.

Research Workshop ($5,000 virtual/in-person; plus travel and expenses for in-person) - A 60-minute standardized interactive workshop led by a Disability:IN researcher, including an overview of key findings from a select Disability:IN research project with actionable recommendations.Research Business Impact Briefing ($7,500 virtual/in-person; plus travel and expenses for in-person) - A 90-minute private presentation of key findings from a Disability:IN research project for internal stakeholders, including analysis of business implications and tailored recommendations.Executive Custom In-Person Events ($10,000 plus travel and expenses) - Host an immersive disability inclusion experience presented by a senior Disability:IN executive who combines disability lived experience with decades of practical corporate knowledge to create a one-of-a-kind learning moment for your organization.User Experience Reviews (starting at $10,000 virtual/in-person; plus travel and expenses for in-person) - Leverage insights from the lived experiences of people with disabilities to identify barriers and improve the accessibility and inclusiveness of your products and services.Disability:IN Asia Pacific (APAC): Global Journey to Disability Inclusion for Business Sponsorship (starting at $15,000) - Sponsorships may include reserved seating, speaking opportunities, and recognition.

Select a Course Catalog Topic

Preferred Date/Time 1 (in Eastern time)

Preferred Date/Time 2 (in Eastern time)

Preferred Date/Time 3 (in Eastern time)

Is your event virtual or in-person?

VirtualIn-person

Event Virtual Platform

Event Location

Will this event be recorded?

YesNo

If the event is recorded, where will it be shared?

Anticipated number of attendees

Anticipated makeup of attendees (internal vs. external)

List of other speakers

Event Objective

Desired Topic

Desired Format (Panel, Q&A, Keynote, Etc.)

If this event is in-person, will your company be able to cover travel, hotel, and meal costs for the speaker?

Which Virtual Platform would you like to use?

In order for us to expedite your request, please let us know if you have any questions or comments.

How did you learn about Disability:IN Custom Solutions?

Disability:IN WebsiteDisability:IN EmailDisability:IN Social MediaDisability:IN Staff Member

Please let us know the name of the Disability:IN Staff member you are working with.