Technology-Based Job Training Interest Form

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Please fill out this form if you are interested in joining our research study. It is about adults with Intellectual and Developmental Disabilities that would like to learn about technology-based jobs, and may be able to get a job using technology by the end of the study. This survey should take approximately 1-2 minutes to complete. Thank you!

Are you interested in learning about technology-based jobs? *

Yes

Unsure - I am not sure what technology-based jobs are and I would like more information.

Are you over 18 years old? *

Yes

Do you have an intellectual or developmental disability? *

Yes

Unsure

Do you live in Arizona? *

Yes

How did you hear about this study? *

First and Last Name: *

Email where we can send you more information: *

Phone number: *

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