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The PILR logo is a dark outline of a building with six Roman-style columns each with a stalk of wheat in a contrasting color. The letters PILR appear in contrasting color at the roofline.Graphical text that reads Prairie Independent Living Resource Center, Hutchinson Kansas

Dedicated to the full inclusion of people with disabilities.

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DMD LogoDisability Mentoring Day
Mentee Application

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The application to be a DMD Mentee is located below. All fields are required.
Application deadline in September 19, 2008.

Personal Information









Education Information


Employment Experience
(or other volunteer activities, hobbies, etc.)

Career Interests
(Describe one or more Jobs/Careers that interest you and explain why)

Other Information
Will you need any accommodations to participate in DMD such as alternative format?
(Braille, Large Print, Sign Language Interpreters, etc.)


Please indicate t-shirt size:

School or Professional Contact
(Teacher, Professor, Counselor, Service Provider)