Disability Advisory Committee Disability Self Declaration Form

The Irish Human Rights and Equality Commission is seeking to appoint members to its Disability Advisory Committee under section 18 of the Irish Human Rights and Equality Act 2014.

The Disability Advisory Committee is required to have at least 75% of its external members be disabled people.

The Commission’s definition of disability in this regard is aligned to CRPD Article 1, which states:

“Persons with disabilities include those who have long-term physical, mental, intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on an equal basis with others”.

Completing this Self Declaration Form is optional. The information provided will only be used for the purpose of the selection process for the Disability Advisory Committee.

You will have an opportunity to self-identify as a disabled person at a later stage of the selection process, if you prefer.

Declaration

I am a person with a disability (Please choose yes or no)

Yes

No

Signature:

Print Name:

Date: