Salt Lake City Accessibility CouncilMembership Application Information

Purpose:

The Salt Lake City Accessibility Council (“The Council”) is a citizen advisory group formed to help the city understand and address issues surrounding disability. The Council provides an ongoing opportunity to advise the Mayor and the City ADA Coordinator on issues related to facilities, services, equipment, plans and programs to ensure non-discrimination for all citizens.

Membership Representation:

The Council is comprised of at least fifteen (15) members appointed by the Mayor. The Council seeks advice from representatives of all disability and age groups, citizens of Salt Lake City, individuals who work in Salt Lake City, and representatives of agencies and entities that provide services or support to individuals with disabilities within Salt Lake City. The Council strives to represent the full range of disability types including but not limited to:

• Blind or visually impaired• Chronic conditions• Cognitive or learning disabilities• Combinations of multiple disabling conditions• Deaf or Hard of Hearing• Hidden disabilities• Mental illness• Mobility impairments or physical disabilities• Seniors (65 years & older)

Individuals representing themselves must be residents of Salt Lake City or work in Salt Lake City.

Membership Term:

Service on The Council will usually begin in January and follow the calendar year. Membership terms run for (3) three consecutive years. You may re-apply for additional (3) three year terms.

Meetings:

Council meetings are usually held on the fourth Tuesday of each month from 3:00 to 4:30 PM. at the Salt Lake City and County Building. Each member is required to serve on a working subcommittee that meets at least once a month. Attendance and participation at these (2) two monthly meetings are very important. An attendance policy is strictly followed. Any member with four (4) absences from Council meetings in one calendar year shall forfeit membership on The Council.

Accessibility Council Membership Application 2014-11

How Do I Apply for Council Membership?

Interested persons should complete and submit the attached application to the ADA Coordinator. If you have questions or need assistance completing the application, please contact the ADA Coordinator.

Michael Stott, ADA Coordinator

Phone:(801) 535-7976TDD: Relay Service 711

Email: michael.stott@slcgov.com

Fax: (801) 535-6331

Mail: Michael StottOffice of the Mayor 451 S State Street, Room 306P.O. Box 145474Salt Lake City, UT 84114-5474

Applications are accepted throughout the year but to be considered during the end of year annual membership process, applications are due by November 30. If you are not selected to serve at the start of a membership year, your application will be held in the “applicant pool” and considered with future vacancies.

ADA Accommodations: All printed information and this application process are available an alternate formats upon request by contacting the ADA Coordinator. To request assistance with filling out the application, please contact the ADA Coordinator.

Accessibility Council Membership Application 2014-11

Salt Lake City Accessibility CouncilMembership Application

If you are representing a service provider/agency, list your work address and phone. If you are representing yourself as a resident, list your home address and phone.

Name:

Organization (if applicable):

Address:

City: Zip:

Email Address:

Home/Work Phone:

Cell Phone:

Tell us about yourself (1-2 paragraphs):

Please describe the type/s of disability/ies you feel you can best represent on the Accessibility Council and describe your experience (or your organization’s experience) with them:

Why do you want to become a member of the Accessibility Council?

In your opinion, what is the best thing about Salt Lake City? What needs to be improved or changed in Salt Lake City?

As part of the application process, you will be contacted by a member of The Council to schedule an interview. Please provide the names and phone numbers for two (2) individuals who know you well. After your interview, contact with your references will occur. We will ask about your potential to be an effective participant on The Council.

Reference #1: Reference #2:

Accessibility Council Membership Application 2014-11

Relationship:

Phone:

Email:

Relationship:

Phone:

Email:

Accessibility Council Membership Application 2014-11