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SourceAmerica Board of Directors Election: 2025

Application for Member-at-Large Vacancy beginning March 1, 2026

Board Information


For additional questions/clarification regarding the SourceAmerica Board of Directors, please contact our Board Liaison, Sylvie Nguyen-Fawley at snfawley@sourceamerica.org.
1.First and Last Name(Required.)
2.Address(Required.)
3.Email address(Required.)
4.Cell Phone Number(Required.)
5.Alternate Phone Number(Required.)
6.If you are not selected as a SourceAmerica Board Member during this election, would you like to be considered during subsequent elections?(Required.)
7.If you are not selected as a SourceAmerica Board Member during this election, would you consider participating as an advisor for special initiatives or focus groups that the Board needs assistance with from time-to-time?(Required.)
8.Bio/CV Upload(Required.)
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9.Why do you want to serve on the SourceAmerica Board?(Required.)
10.Do any of the following attributes apply to you? Check all that apply(Required.)
11.Please list any additional areas of expertise you believe would be of value to the Board.
12.Do you identify yourself as an individual with a disability? *

**The purpose of this question is to help ensure SourceAmerica is engaged in adequate outreach efforts, especially given its mission as well as to ensure SourceAmerica is meeting its requirements under the Cooperative Agreement with the U.S. AbilityOne Commission. One of the requirements of the Cooperative Agreement is that the SourceAmerica Board “not be composed of less than 25% people who are disabled, and shall actively seek participation by people with disabilities.” We are asking all board members to self-identify if they have a disability.  Your answer to this question will be kept confidential. Your response will only be used in the aggregate to determine the percentage of board members with a disability.(Required.)
13.How do you feel you can best contribute to the SourceAmerica Board and fulfillment of SourceAmerica mission?(Required.)
14.Please provide your knowledge of, and any current or past affiliation with, the AbilityOne® Program(Required.)
15.Please disclose any transactions, relationships or issues with SourceAmerica and its affiliated nonprofit agencies, National Industries for the Blind, or the U.S. AbilityOne Commission® which could present an actual or perceived conflict of interest or that could discredit SourceAmerica or the AbilityOne Program(Required.)
16.Please discuss your relationship with any nonprofit agency (NPA) and whether it is an AbilityOne Producing NPA(Required.)
17.List other current or prior board memberships, including dates of service(Required.)
18.Reference #1(Required.)
19.Reference #2(Required.)
20.Reference #3(Required.)