AGENDA Regional Disability Rights Dialogue 2022 Registration Form
Date: March 30 and March 31
Time: 8:00am - 11:30am Jakarta time
9:00am-12:30pm Manila
7:30am-11:00am Yangon
12:00pm-3:30pm Canberra
March 29 and March 30 9:00pm-12:30am Washington DC

Please join IFES and AGENDA at the Fifth Regional Disability Rights Dialogue!

The event features virtual interactive workshops, panels and networking opportunities to bring together leading organizations of persons with disabilities, civil society organizations, youth leaders, private sector representatives, ASEAN officials and other stakeholders to discuss disability and youth inclusion for national and regional strategies for COVID-19 response and recovery, digital access and economic development.

Day 1 will consist of workshops to draft recommendations for disability inclusion for governments and private sectors. Day 2 will consist of panel discussions with guided Q&A sessions and virtual booths for networking.

The event will be conducted in English with simultaneous translation available in Indonesian Bahasa, Vietnamese, Khmer, Thai, Myanmar language and Malay. Captioning is available in English and Malay.

The personal information of participants recorded in this form will be kept confidential and are for program evaluation purposes only and will not be shared outside of IFES and our donors without prior consent from participants.
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First Name *
Family Name *
What is the best email to reach you? *
What is your position, role or preferred title? *
Which organization are you representing? *
What type of organization do you belong to? *
Required
What country will you be attending from? *
With which gender do you identify? *
Which identity group(s) do you identify with? Please check all that apply *
Required
Do you identify as part of the youth community? *
Do you identify as a person with a disability? If so, please select the appropriate choice(s) *
Required
What kind of accommodations do you require? Please check all that apply:
Which breakout rooms are you interested in? Please select all that apply. *
Required
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