NCCDD - EveryBody Works NC Request Form

EveryBody Works NC Request Form

North Carolina Vocational Rehabilitation (NCVR) offices, chambers of commerce, disability groups and other community organizations can use this form to request a speaker, order brochures and posters or request the NC Works Bus for any event promoting employment for people with disabilities. Just fill out the contact info below and scroll down to find the items you want to request.

Contact Information

Name:(*)

Invalid Input

Title:

Invalid Input

Organization:(*)

Invalid Input

Phone number:(*)

Invalid Input

Email address:(*)

Invalid Input

Add this to the Calendar

All VR offices are encouraged to plan and promote special events commemorating NDEAM and put them on the VR Promotions Calendar. To do so, complete the section below:

Event name:(*)

Invalid Input

Date of Event

Invalid Input

Event Location

Address line 1:

Invalid Input

Address line 2:

Invalid Input

City:

Invalid Input

State:

Invalid Input

Zip Code:

Invalid Input

Type of event or organization:

Invalid Input

How many people are expected:

Invalid Input

Order Campaign Materials

Interested people and organizations involved in the campaign are welcomed to order campaign materials at no cost to you. You can order the following:

Employer Brochures (25 per package) Quantity:

Invalid Input

Download PDF

Employee Brochures (25 per package) Quantity:

Invalid Input

Download PDF

Infographic (25 per package) Quantity:

Invalid Input

Download PDF

11 x 17” Posters (5 per package)

Invalid Input

Download PDF

Mailing Instructions:

 Mail materials to the address below:

Name:

Invalid Input

Organization (if applicable):

Invalid Input

Address line 1:

Invalid Input

Address line 2:

Invalid Input

City:

Invalid Input

State:

Invalid Input

Zip Code:

Invalid Input

Speaker Request for EveryBody Works NC Campaign

Speaker availability will be confirmed within five business days.

Event name:(*)

Invalid Input

Date of Event

Invalid Input

Event Location

Address line 1:

Invalid Input

Address line 2:

Invalid Input

City:

Invalid Input

State:

Invalid Input

Zip Code:

Invalid Input

Type of event or organization:

Invalid Input

How many people are expected:

Invalid Input

NC Works Mobile Career Center

This bus is a “classroom on wheels” with 10 individual workstations, Internet and Wi-Fi capability used to promote economic and workforce development. To request the bus for an event, complete this form: You will receive availability and approval within five business days.

Event name:(*)

Invalid Input

Date of Event

Invalid Input

Event Location

Address line 1:

Invalid Input

Address line 2:

Invalid Input

City:

Invalid Input

State:

Invalid Input

Zip Code:

Invalid Input

Type of event or organization:

Invalid Input

How many people are expected:

Invalid Input

(*)

Invalid Input

graphicsR

Save

North Carolina Council on Developmental Disabilities - NCCDD

EveryBody Works NC Request Form

North Carolina Council on Developmental Disabilities

Quick Links

Sign Up For Our Newsletter and Alerts!