Name and surname (required field)

Date of birth (required field)

Phone number (required field)

Email address

Are you a member of an association, organization, or similar? (required field)

YesNo

Type of disability (required field)

Check the appropriate boxes

Speech and language disordersHearing impairmentVisual impairmentIntellectual disabilitiesPsychosomatic disordersChronic illnessesPhysical disabilityMultiple impairments

Manner of acquiring disability:

Urođeni invaliditetStečeni invaliditetDisabled workersRatni invalidiWar invalids

Do you have categorization? (required field)

YesNo

Highest level of education achieved (required field)

Unfinished elementary schoolFinished elementary schoolFinished high schoolFinished higher education schoolFinished universityMagister/Master degree

Additional knowledge and skills

What languages do you know?

Employment status (required field)

UnemployedEmployed through a youth employment serviceEmployed temporarilyEmployed indefinitelyEmployed but working unregistered

If you are employed

Write the name of the job title, and describe what you do

Your motive for membership in the organization

In your opinion, what would contribute to the improvement of the position of persons with disabilities in Belgrade?