1.Board members must fully support APSE mission and values and obtain/maintain current APSE membership. Can you meet this requirement?

Yes

No

2.As a representative of Iowa APSE, Board members are expected to promote integrated employment for Iowans with disabilities. Board members must commit to active participation an average of 10 hours per month to Iowa APSE. Can you meet this requirement?

Yes

No

3.Tell us about your experience surrounding Employment First?

4.Please identify your membership type.

Person with a disability

Family member/guardian

Service Provider

Teacher/Educator

Public Agency

Employer/Business

5.What does APSE mean to you?

6.In what areas do you believe you could make the strongest contribution to our organization?”

7.What committee do you feel would fit you best?

Membership

Marketing

Policy

Training

8.Contact Information

Name

email

phone number