DSAIA 2019 Board Application Board of Directors Application Thank you for your interest in serving on the Board of Directors for Down Syndrome Affiliates in Action (DSAIA) Trade Association. This application will require that you have read the following documents. Election Policy/Process Board Member Contract Conflict of Interest Policy Conflict of Interest Disclosure Statement (to be signed upon election) DSAIA Bylaws OK Question Title * 1. What DSAIA member organization has nominated you for board service with DSAIA? OK Question Title * 2. Which member of the above organization can we contact for confirmation and other related information? Name Email Address Phone Number OK Question Title * 3. Candidate information Name Company or Organization Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 4. I have read and understand the following documents: Election Policy & Process Board Member Contract DSAIA Bylaws Conflict of Interest Disclosure Statement Conflict of Interest Statement OK Question Title * 5. Are there any reasons why you would not be able to sign the Board Contract? OK Question Title * 6. Are there any reasons you would not be able to sign the Conflict of Interest Disclosure Statement? OK Question Title * 7. Tell us why you would like to be considered as a board member of DSAIA? OK Question Title * 8. Tell us about your experience with local Down syndrome associations. (history, accomplishments, etc) OK Question Title * 9. What are your areas of expertise and leadership qualities? Check all that apply. Administration/Management Early-stage organization/startups Financial oversight Fundraising Investment management Law Marketing/Public relations Human resources Strategic planning Technology OK Question Title * 10. Now, tell us about your experience (work/personal) that might not have been included above. OK DSAIA has a number of committees including Membership, Marketing & Communications, Development, Online Training, Discount Offers & Programs, Resource Library, and other small task forces as needed. OK Question Title * 11. Do you have any specific interests or passions that might lead you to serve on any specific committee during your board service with DSAIA? OK Question Title * 12. What do you see as the future direction of DSAIA? OK Question Title * 13. What ideas would you like to see incorporated in the future direction? OK Question Title * 14. Often, DSAIA has unexpired terms to fill. If there are 1- or 2-year terms available, which would you prefer? One-year term Two-year term I'd only like to be considered for a three-year term. I'm willing to fill any term available. OK Question Title * 15. Please share three references we can contact to learn more about you. (Name, phone/email, relationship) Reference 1 Reference 2 Reference 3 OK DONE