DETS Scholarship Application

If your organization or group is not able to pay licensing fees for DETS courses, you may apply for a scholarship. The ACT Center of Disability Leadership will provide assistance in obtaining funding or reducing fees to see that you are able to provide DETS to your community.

Name of organization

Contact person

Phone

Mailing address

Web address of the organization

Description of your organization

Organization structure (501c3 or other)

How many people served

How many staff

How many volunteers

Total annual budget

How is the organization funded

What level of support are you requesting

How many self-advocates and others will be participating in each 12-session DETS program?

Describe your interest in DETS

Additional information that might be helpful for ACT to consider.