Organization

Address

Contact Person

Phone

Fax

Email

Website

Services

Hours of Operation

Community Access (y/n)

# of Computer Stations

# With Internet Access

Fee for Use?

Accessibility Features or Equipment

Staff Trained on Adaptive Equipment

Contact Person for Accessible Equipment

Plans for Accessible Equipment

Entrance

Washrooms

Training Rooms

Plans for Accessibility

Issues Preventing Accessibility

Accessibility of Website

Website Advertise Availability of Adaptive Equipment and Support

Partnerships or Affiliations

Government Support

Charitable Support

Programs to Develop Employability Skills

Programs targeted to Persons With Disabilities

Cost

Criteria for Participation

Monitoring Success

Participant Feedback

Follow up Program

Obstacles Facing Program

Is Program Well Utilized

Marketing & Recruitment

Organizational Level of Programming Decisions

Other