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Expert Witness Database Submission Form
First Name
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Last Name
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Title
Organization
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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Website
Languages Spoken Fluently (English assumed)
Willingness to Travel Out-of-State to Provide Testimony
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Yes
No
Maybe (please add note)
Maybe (please add note)
Specific Areas of Disability-Related Expertise (death penalty, victims, juveniles, sex offenders, etc.)
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Qualifications (education, training, certifications, publications, research)
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Other Work and/or Research Experience Related to Disability Issues and/or Advocacy
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Prior Expert Witness Experience (years)
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Number of Cases Worked On Involving Person with I/DD (intellectual or developmental disability)
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Of the cases involving a person with an I/DD, in how many was the person with I/DD the defendant? The victim/plaintiff?
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In these cases, how often did you work/testify on behalf of the person with an I/DD?
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Other Information You Wish to Share
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