| Person Centered Services

Service Announcement Submission Form

Use this form to send announcements about new service offerings, openings, vacancies, updates, resources, and events to our Care Coordination team. ONLY information relevant to the support of people with intellectual and/or developmental disabilities in the Western, Finger Lakes, and Southern Tier regions of New York State will be accepted.

Program or Service Announcement Type*
Please check as many boxes as apply.
- Opening
- Vacancy
- Update/Change
Description*
Describe your program and service openings, vacancies, or updates. In your description, please note the locations where these programs or services are available.
Link to Service Announcement*

Description*
Please briefly describe the informational resource you are sending to our team, such as a link to a training or an educational session for individuals with intellectual and developmental disabilities and their families.
Link to Resource*

Event Name*
Event Location*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Date*
Date Format: MM slash DD slash YYYY
Event Start Time*

: HH

MM
Event End Time*

: HH

MM
Does this event have multiple dates or times?*
- Yes
- No
If Yes, please list the dates and times for this event.
Event Description*
Please briefly describe your event.
Link to Event*

Service Announcement Submission Form

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