This disability justice pledge form is designed for collecting meaningful commitments around accessibility leadership, interdependence, and dismantling ableism. It gives respondents a structured way to identify who they are pledging as, share contact details, and document the actions they are willing to take.
The template is especially useful for nonprofits, schools, community groups, workplace initiatives, and advocacy programs that want more than a simple signature list. It includes commitment checklists on centering disabled voices, practicing community care, addressing barriers to access, and setting concrete next steps for the next 90 days.
Because the form asks for both values-based commitments and specific action plans, it supports stronger follow-through and easier review. You can use it to gather public pledges, support internal accountability efforts, or map participation across cities and regions while keeping the experience clear and accessible for respondents.
