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First Name*
Last Name*
Email*
Organization Name*
Job Title*
Do you currently supervise or manage employees in your workplace?*
Yes
No
How many direct reports do you currently supervise?*
0
1-2
3-5
6+
Do any of your current employees identify as having a disability?*
Yes
No
I''m not sure
What challenges, if any, have you encountered in supervising employees with disabilities? *
Are you available to test the application and participate in a 30-minute interview within the next 2–3 weeks?*
Yes
No
Maybe
Would you be comfortable participating in 2–3 prototype conversations with the application and providing feedback?*
Yes
No
Is there anything else you'd like us to know about your interest in testing this tool?
Thank you for joining the waitlist!
We’ll reach out to you soon.
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