PADD Application – Alabama Disabilities Advocacy Program

ADAP is federally funded. As a result of the federal government shutdown and the ongoing process of reopening, this funding has been significantly delayed.

During this period, ADAP will continue to use a waiting list to allow us to prioritize our work based on available resources.

Please use this form to request services or call us at 800.826.1675 and we will review your request as soon as possible.

We appreciate your patience.

PADD Application

PADD Advisory Council Application

ADAP advocates for the civil rights of persons with developmental disabilities (DD) through our PADD program. PADD stands for Protection and Advocacy for Individuals with Developmental Disabilities.

Our PADD program has an Advisory Council that provides us advice about issues important to persons with DD in Alabama so that we better understand how to focus our work.
The Council meets at least three times per year, some of our meetings are held virtually and some are in-person, typically in the greater Tuscaloosa, Montgomery, and Birmingham areas. Meeting dates are identified before the start of each year. Members are reimbursed for their travel expenses to meetings.

If you want to be on ADAP’s PADD Advisory Council, please fill out this application. We strongly encourage applications from persons who have DD or their family members.

If you have questions about this application or need help filling it out, contact ADAP at (205) 348-4928.

PADD Advisory Council Application

* Indicates Required Field

Applicant Name

Applicant Name

First

First

Last

Last

Applicant’s Email

Applicant’s Primary Phone

Work Phone

Applicant’s Address

Applicant's Address

Applicant's Address

Applicant's Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Birth Date

Race Race

Ethnicity

Gender Identity Gender Identity

Pronouns Pronouns

Please choose the response that best describes you:

I am a person with a DD.

I am a parent, guardian, or immediate family member of a MINOR CHILD with a DD.

I am a parent, guardian, or immediate family member of an ADULT with a DD.

I am employed by or represent a government or non-profit organization concerned with services for individuals with DD.

Please identify the disability

Why do you want to be on ADAP’s PADD Council?

What disability rights issues do you feel strongly about?

What would make life better for persons with DD in Alabama?

If you are human, leave this field blank.

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