1 Start 2 Complete If you would like to be added to our contact list to receive updates on ID-PPAL please enter your information below. First Name: * Last Name: * Email address: * Organization: * Are you interested in participating in future workshops or initiatives related to ID-PPAL? * Yes No Maybe, please contact me with more details Would you or your organization be willing to submit a letter of support for a statewide ID-PPAL? * Yes No Maybe, please contact me with more details Would you or your organization be willing to discuss financial support to implement a statewide ID-PPAL? * Yes No Maybe, please contact me with more details What else should we keep in mind to ensure ID-PPAL is successful and responsive to statewide needs? If there is someone else we should be speaking with about this initiative, please enter their information below: First Name: Last Name: Organization: Email address: Leave this field blank