1. Default Section

The Nominating Committee of the Disability Law Center(DLC) Board of Directors will review all applications and forward the names of eligible candidates to the full board for their consideration.

When you have completed this form, please email a note to akpa@dlcak.org letting us know you've done so.
Due to the limitations of this questionnaire software, we may not know that you have completed this form unless you send us an email.

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* 1. Please fill out your contact information below:

Please respond to each of the following 8 questions. You may attach additional pages via email if you desire.
{More information on attachments at the end of the application}

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* 2. What qualifications will you bring to the DLC Board?

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* 3. What is your interest and motivation for serving as a Board member?

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* 4. Please explain your knowledge of the issues affecting persons with disabilities.

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* 5. Describe your experience in community organizations, including service on boards or advisory committees.

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* 6. Discuss your experience and knowledge working with specific underserved communities (e.g., Asian/Pacific Islander, African American, Alaska Native, Spanish speaking, or rural communities).

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* 7. Describe your experience advocating for people with disabilities, or others.

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* 8. Discuss your leadership or policy development experience.

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* 9. Are you a member of other disability or civil rights organizations? If so, please identify those groups below.

The Disability Law Center of Alaska's Board values diversity. In order to assist the Board in selecting diverse Board members, please identify the following groups below to which you belong.

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* 10. My race/ethnicity is:

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* 11. I am a person with the following disability/disabilities:

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* 12. I am the family member of a person with the following disability/disabilities:

No applicant will be denied or granted a seat on the Disability Law Center's Board of Directors based solely upon his or her response to these questions.

When you have completed this form, please email the following to akpa@dlcak.org:
  • Resume;
  • References or endorsements from disability organizations that support your candidacy;
  • and any additional documents or information.

Due to the limitations of this questionnaire software, we won't know that you have completed an application unless you send us an email.

Thank you!

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