TAKE YOUR LEGISLATOR TO WORK

Take action. Be heard. Create change.

Brought to you in partnership with:

October is National Disability Employment Awareness Month (NDEAM). In recognition of NDEAM, the Iowa Developmental Disabilities Council (Iowa DD Council) and the Association of People Supporting Employment First (APSE) are hosting the Take Your Legislator to Work campaign. We want to bring awareness that every Iowan should have meaningful employment opportunities in their community. This is your opportunity to tell your legislator(s) what you do at work and why it is important in your life.

Legislators are in their home districts now. This makes it the perfect time to invite them to your workplace to discuss the importance of having employment and the impact you have in your community. The Iowa DD Council will share stories from this campaign throughout National Disability Employment Awareness Month (NDEAM) in October

Before you begin, ask yourself the following:

Do I have good things to say about my job?
Do I have things I want my legislator(s) to know about my job?

If you answered yes to these questions, please participate in the Take Your Legislator to Work campaign!

Getting Started

TO PARTICIPATE

Fill out the online form below.
When complete, click on the SUBMIT button.
Review and complete the Planning Your Visit form LINKED HERE.

YOUR RESPONSIBILITIES

Ask your employer for permission to invite your legislator(s) to visit you at work.
Determine the best times to hold your visit. Select at least three dates and times to offer your legislator(s).
Contact your legislator in advance and have three dates and times that will work for you and your employer.

The Iowa DD Council is is available to provide assistance during this process. Call (800) 452-1936 with questions or send an email to contactus@iowaddcouncil.org.

Take Your Legislator to Work Form

To participate, fill out the form below.

Prefer to download and fill out the application by hand?

Download Printable Application

Participant Information

PARTICIPANT INFORMATION

PARTICIPANT INFORMATION

First Name

Last Name

Do you have a guardian?

YES

If YES, what is their name?

Address

City

State

Zip

Phone

Your Job Title

Number of Years Employed

Tell us about yourself.

How did you get your job?

What are your job duties?

What do you like best about your job?

Have you ever visited with your legislators?

YES

If YES, with whom did you visit:

Why do you want to get involved in the Take Your Legislator to Work campaign?

BUSINESS INFORMATION

BUSINESS INFORMATION

Business Name

Business Address

Business City

Business State

Employer Zip

Business Phone

Business Website

SUPERVISORY INFORMATION

SUPERVISOR INFORMATION

Supervisor Name

Supervisor Title

Supervisor Email

Free Text

By submitting this form, both the employee and supervisor give permission to invite the employee’s legislator(s) to the specified workplace and understand that this employee will spend 30–45 minutes visiting with their legislator(s) during their shift.

The following activities will be allowed to take place:

Use of business name in media-related activities surrounding the campaign, including name of employee’s supervisor.

Media to be present during the visit.

Photos to be taken inside of business and used at discretion of the DD Council for media and/or promotional purposes.

700 2nd Avenue Suite 101

Des Moines, Iowa 50309

P (800) 452-1936

This project is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $774,176 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.