Statewide Forum for Students with Learning Disabilities Planning to Attend Community College

  • Date: May 12, 2012
  • Time: 9:30 a.m. to 3:00 p.m.
  • Where: Howard County Community College
                Duncan Hall 100 (Kittleman/Multipurpose Room)
  • Food: Breakfast & Lunch will be provided
  • Cost: There is no cost to participate!
  • RSVP: by May 4, 2012

Please use this registration form to register for the 2012 Statewide forum for students with learning disabilities interested in going to community college.

You can fill out the form on your computer and email it to

You could also print out this form and fill it out by hand and mail or fax it to the MDOD office.

Mail to:

Meg Donnelly
Maryland Department of Disabilities
217 E. Redwood St., Suite 1300
Baltimore, MD 21202

Fax to:

Attn: Meg Donnelly

Additionally, you can copy and paste the form below into an email, fill it out, and send it to

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Student Information
Email Address:          
Zip Code:     
Day Phone:     
Evening Phone:       
Anticipated Date of Graduation:   
I will need the following accommodations in order to participate:                
Dietary Restrictions:   

Parent Information
Will one or two parents be joining you?    
Name of Parents:            
Email Addresses:           

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