BAID Network Form

Calling all Barnard alumnae with disabilities! Coordinated by ODS - and co-sponsored with Alumnae Affairs and Career Development -- the BAID Network is a clearinghouse for disability-related information re: graduate school and the world of work. First established in 1988, BAID enables current students with disabilities the opportunity to talk and/or meet with disabled alumnae from a wide variety of fields. Time commitments are flexible depending on your interest, availability, and schedule. Participation can vary from a phone conversation or email, to participation on a panel, to sponsoring an internship or shadowing appointment. Please complete the following BAID form and submit it to ODS.

If you have any questions or would like more information, please call Susan Quinby at 212/854-4634 (voice/TTY). We welcome your involvement and look forward to hearing from you!

CURRENT NAME:
NAME AT BARNARD:
CLASS OF:		BARNARD MAJOR:
GRADUATE SCHOOL:		DEGREE/DATE:
TYPE OF PROGRAM:

JOB TITLE:

EMPLOYER:

PLEASE DESCRIBE YOUR WORK:

DISABILITY:

IN WHAT CAREER AREA(S) WOULD YOU CONSIDER YOUR WORK TO BE? (PLEASE CHECK ALL THAT APPLY)
	ADVERTISING	LAW (private sector)
	ARCHITECTURE	LAW (public interest advocacy/govt.)
	ARTS	MARKETING
	BUSINESS	MATH/ENGINEERING
	COMPUTERS/TECHNOLOGY	MEDICINE
	EDUCATION (early childhood)	NOT-FOR-PROFIT (NGO)
	EDUCATION (elementary/secondary)	PSYCHOLOGY/SOCIAL WORK
	EDUCATION (postsecondary)	PUBLIC RELATIONS
	ENVIRONMENTAL	PUBLISHING
	FASHION	RESEARCH
	FILM/TELEVISION/RADIO	SCIENCES
	FINANCE	TRAVEL
	HEALTH SERVICE	WRITING/JOURNALISM
	HOSPITALITY/TRAVEL/CULINARY	OTHER:
	INTERNATIONAL

ARE YOU WILLING TO BE CONTACTED AS A RESOURCE:
	by individual students or alumnae for informational interviews?
	to sponsor an internship (short-term, "hands-on" career experience)?
	for shadowing opportunities (observing you and your workplace for an afternoon or day/s)?
	for informal group discussions and/or career panels?
	for students interested in applying to your graduate school program?

HOME ADDRESS:		BUSINESS ADDRESS:

E-MAIL ADDRESS (personal):		E-MAIL ADDRESS(business):
HOME PHONE:		WORK PHONE:
MOBILE PHONE:		OTHER PHONE:

WHAT ARE THE BEST TIMES TO REACH YOU?