Board Application Deaf Independent Living Association, Inc.Board Application Thank you for your submission. First Name Please correct your First Name. Last Name Please correct your Last Name. Address Please correct your Address. City* Please correct your City. Zipcode Please correct your Zipcode. Phone Number Please correct your Phone Number. Fax Email Address Profession Degree HS BS/BA MS/MA PHD Please explain why you are interested in serving on the Board: Would you like to participate in the following areas: Fundraising Personnel Bylaws Nominating DIR Public Relations Executive Committee Special Events Financial Other What will you contribute to the Agency Have you served on a non-profit non membership governing Board before? Yes No If yes, what non-profit How long? Best Days to be contacted: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Do you have the following requirements? An understanding or a desire to understand Deaf culture and hearing loss issues. Yes No A commitment to embracing the values of DILA as a volunteer. Yes No Have the energy and commitment to ensure the agency's financial sustainability through participation in fundraising from grass roots to corporate activities. Yes No An understanding of the role of a board member governing a non-profit agency. Yes No Be people oriented with the desire to work with a diverse group of people. Yes No Have integrity and honesty. Yes No Ability to communicate through technology. Yes No Ability to participate in strategic planning and implementation Yes No Submit Your Request
