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 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: Marilyn Tolbert, 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*
Email
This field is for validation purposes and should be left unchanged.

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Board Nomination Form

Board Nomination Form