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RDEI and Your Business

Use the form below and provide as much detail as possible to address your inclusivity and accessibility. This information is being collected for internal use only and will be used to inform on opportunities and gaps in the Willamette Valley.

A note on Accessibility: In this context, accessibility refers to the ease with which the organization's products, services, and facilities can be accessed and used. Ramps and Braille signage comes to mind when thinking about accessibility, but there are less obvious examples as well including invisible or non-physical barriers. For example, an individual with Autism may struggle with sensory overstimulation in crowded, busy spaces.

First Name *


Last Name *


Company


Address


Address 2


City


State / Province / Region


ZIP / Postal Code


Phone


Website


Email *


Business Description - (include details of how your business can welcome the chosen disabilities)






  A mobility issue using a wheelchair
  A mobility issue using walking canes
  A vision impairment
  A hearing impairment
  Neurodiverse (diverse ways of thinking, learning, processing and behaving. ADHD and Autism are examples)
  Other [please explain]






  LGBTQ+ Ally (Welcome/celebrate all individuals/groups and the way they self-identify)
  Affordable to all (Offers average fees/services that are accessible to multiple socio-economic levels)



  Asian-owned
  Black-owned
  Hispanic-owned
  Indigenous-owned [provide nation or tribe below]
  LGBTQ+-owned
  Women-owned
  Other [provide details]





  * Please Enter All Required Fields   ** Please Make Sure to Select a File, Click "Start Upload," and Ensure All Uploads Are Finished.

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