Apply to be a Disability Confident Leader

* Is a mandatory field
  • Complete this form to:

    • confirm you’ve completed the Disability Confident Employer self-assessment
    • tell us who’s validated your self-assessment
    • record the details of the activities you’re taking to become a Disability Confident Leader
    • confirm you’re taking action to record and report on disability, mental health and wellbeing in the work place
    • confirm the activities you're doing to get the right people for your business and keep and develop disabled people
  • About your business

  • you will need this number to confirm you signed-up
  • Please enter a number less than or equal to 999999.