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This document is a questionnaire for students with disabilities at Berkeley City College to identify the type of assistance they may need during a building evacuation and to provide consent for the
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How to fill out Self-Identification for Persons with Disabilities Questionnaire

01
Read the introduction to understand the purpose of the questionnaire.
02
Provide your personal information as requested, including name and contact details.
03
Indicate whether you have a disability by selecting 'Yes' or 'No'.
04
If you answered 'Yes', specify the nature of your disability based on the provided categories.
05
Complete any additional sections that ask for voluntary information about your disability.
06
Review your answers for accuracy and completeness.
07
Sign and date the questionnaire where required.

Who needs Self-Identification for Persons with Disabilities Questionnaire?

01
Individuals applying for jobs or benefits where disability status may be relevant.
02
Employees wishing to self-identify for diversity and inclusion initiatives.
03
Organizations seeking to improve accessibility and representation of persons with disabilities.
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The Self-Identification for Persons with Disabilities Questionnaire is a form used by organizations to collect information from individuals regarding their disability status, helping to promote equal opportunity and inclusion in the workplace.
Typically, all applicants and employees of organizations that are contractors or subcontractors of the federal government are required to file the Self-Identification for Persons with Disabilities Questionnaire as part of diversity and compliance initiatives.
To fill out the questionnaire, individuals should read the instructions carefully, check the appropriate box indicating their disability status, and provide any additional information required by the form.
The purpose of the questionnaire is to create a voluntary self-disclosure system that enables employers to track disability demographics, comply with legal requirements, and foster a more inclusive work environment.
Individuals are typically required to report their disability status, including whether they identify as having a disability or choosing not to disclose that information.
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