Please select all applicable services

Intent of the Website:

The ThinkDIFFERENTLY! website embodies Dutchess County’s commitment to build a community where people with special needs are seen as we see our neighbors - People with abilities.

Purpose of this Survey:

The Dutchess County Office for Special Needs is assembling a web-based directory of services and supports for people with all abilities and their families.

The goal of the website is to be a resource that can help guide individuals with a variety of special needs and/or their families toward services that they need or may not know are available.


Please complete all or any of the sections that your agency would like to have information represented on ThinkDIFFERENTLY website. Including the services that your agency/program provides, and the main office address (with zip code) so that individuals can locate you. You will have an opportunity to provide additional services or programs that your agency/program provides that are not captured in our listing.

The person completing this survey must be the person with the ability to authorize the information about your agency/program on the ThinkDIFFERENTLY! website. Be sure to review your information prior to submitting this survey.

* = Required Field

1. Would you like to add your organization or edit details? (required)

2. Name of your organization (required)

3. Your full name (required)

4. Your phone (123-123-1234)

5. Your email address

6. Preferred method of communication

7. Name/Type of Program and Location of Services (Add the location for where you provide actual services for example: Abilities First Day School  or Abilities First Residential Services )

8. If your organization has an events calendar on the web, please provide a URL (example:

9. Please provide the URL for your organization (example:

10. Please select (all) the age ranges for individuals you provide access to

11. Select all services that apply (required)

12. Clinic Services?  If so, select all services that apply (required)

13. Do you provide Parent Support Groups? If yes, please specify type (i.e. ASD, Downs Syndrome etc.)

14. Do you provide Home Based Services? If yes, please specify type  (i.e. Behavioral Services; Health Services: Supportive Counseling; Crisis Intervention etc).

15. Population served (required)

16. Certification (check all that apply)