Thank you for your interest in serving on the Board of Directors of Family to Family Network. All information collected will not be sold or exchanged with anyone else.

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* 1. Please provide your contact information.

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* 2. Are you a Parent of a child with disabilities?

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* 3. Are you the Family member of a person with disabilities?

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* 4. Are you a Self advocate (person with disability)?

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* 5. Do you provide services to persons with disabilities or their family members?

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* 6. I will bring the following expertise as a board member:

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* 7. As we are a small organization - All board members are expected to serve on at least ONE committee.
Which committee(s) are you interested in? Check all that apply.

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* 8. Are you interested in taking a leadership role on a committee, especially in relationship to organizing specific events? I am interested in:

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* 9. If you are interested in a leadership position on the board - please indicate the role you seek.

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* 10. We cannot accomplish what we do without extensive help from our board volunteers. Training will be provided. I would like to help Family to Family Network by volunteering to:

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* 11. Why are you interested in serving on the Board?

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* 12. I understand the Family to Family Network Board Responsibilities and I commit to do the following:

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