Menu
Programs &
Resources
What is Down syndrome?
Ages & Stages
A&S-Birth to 2
A&S-3 to 5
A&S-Elementary
A&S-Tweens & Teens
A&S-Transition to Adulthood
A&S-20s & 30s
A&S-40-plus
A&S-Self-advocates
A&S-Co-occurring DS-ASD
COVID-19 Resources
Race Relations Resources
Local & National Support Networks
Affiliate Program
Adult Sibling Toolkit
Family Care Toolkit
Health Care & Medical Resources
Down Syndrome Clinic Listing
Research Opportunities
Outreach &
Education
Outreach Programs
Down Syndrome Summit
Educators Conference
June 25, 2020
The Georgia Down Syndrome Consortium
Parent Webinars
LP Online™
Policy &
Advocacy
Legislative Priorities
NDSC Position Statements
Take Action & Stay Informed
Policy & Advocacy Events
National Down Syndrome Advocacy Coalition
NDAC FAQ
NDAC Membership Application
NDAC Group Membership Application
Self-Advocates
Advocacy Toolkit for Self-Advocates
Advocacy Trainings
Advocacy Resources
Annual
Convention
About The Convention
Registration
General Conference
Youth & Adults Conference
Siblings Conference
Deep Dive Sessions
Included with Registration
Call for Speakers
Sponsors and Exhibitors
Exhibitor Registration
College Fair
Convention History and Awards
Award Nomination Form
About
NDSC
Mission & History
NDSC Member Information
NDSC Member Profile
Board of Directors
Board Nomination Process
Foundation Trustees
NDSC Professional Advisory Council
Issue Position Statements
Self-Advocate Council
Staff
NDSC en Español
News &
Events
News & Blog
Down Syndrome News
Upcoming Events
More Alike Awareness Campaign
Support &
Get Involved
Fundraising
Ally for Advocacy
Soiree of Stars Gala
Retail Partners
Sponsor Opportunities
Planned Giving & Employer Matching
Self-Advocate Book Project
Shop NDSC
Self-Advocate Marketplace
Make A
Donation
En
Español
COVID-19 Recursos
¿Quiénes Somos?
Información Para Padres
Seminarios Web
Blog del NDSC
Convención del NDSC
Servicios
Asociaciones y Grupos de Apoyo
Gobierno
Contáctanos
Únete al NDSC!
About NDSC
Board Nomination Form
Submissions are due by April 15, 2020
Board Nomination Form
Use this form to complete the NDSC Board of Directors Nomination Form. Please review the Nomination process in its entirety before submitting this form.
Board Nomination Process
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Phone
Mobile Phone
*
Work Phone
Email
*
NDSC Membership
Are you a current member of the NDSC? If so, how many years have you been a current member?
NDSC Committees
Have you ever served on an NDSC Committee? If so, please indicate which committee(s), years and activities.
Relationship to DS
*
Are you a family member of a person with Down syndrome? If so, please indicate the person’s age and relationship to you.
Professional in the field of ID
Are you a professional in the field of developmental disabilities? If so, please describe the area of specialty and/or attach a resume.
Professional Resume
Convention Attendance
*
Have you ever attended an NDSC Convention? If so, which conventions have you attended?
Other Board Experience
*
Have you served as a member of the Board of Directors of any local/state/regional non-profit organizations serving people with Down syndrome or developmental disabilities? If so, please describe your experience.
Other Non-profit Experience
Please describe any other non-profit experience not listed above.
DS Parent Organization
*
Are you a member of a local Down syndrome parent organization? If so, please include the name of the organization and describe your involvement.
Biographical data
*
Please provide a written statement that includes Biographical data relevant to potential participation on the NDSC Board of Directors
Personal Statement
*
Please provide a personal statement describing your motivation and interest in serving as an NDSC Board member (in general, as well as indicating specific interest areas).
Personal Qualities or Qualifications
*
Please provide a written description of personal qualities or qualifications that would assist you in your duties as a Board member.
Letters of Reference
Please submit two letters of reference from individuals who can comment on your experience with not-for-profit Boards of Directors and/or on qualities that make you an appropriate candidate for service on a national board. You may attach these to your application, or the writers may send them directly to: National Down Syndrome Congress Attn: Kishore Vellody, Nominating Committee 30 Mansell Court, Suite 108 Roswell, GA 30076 info@ndsccenter.org
Drop files here or
By stating my full name below I acknowledge I have read the Nominating Process Information and understand the conditions under which I agree to have my name placed into consideration with the Nominating Committee. I realize that all expenses of my Board membership are my personal responsibility. I also agree, if elected or appointed, to attend all scheduled Board meetings to the best of my ability.
Full Name and Date
*
Name
This field is for validation purposes and should be left unchanged.