Board of Directors Nomination Application and Materials | Page 3
The Arc of Maryland
Nomination for Board of Directors
Please forward this application to:
The Arc Maryland
c/o Nominating Committee
PO Box 1747
Annapolis, Maryland 21401
Or email to [email protected] with subject line: Nominations.
1.
Your Contact Information
Name:
Address:
County:
Telephone:
Email Address:
Are you a member of a local chapter of The Arc? __ Yes
If “Yes,” what is the name of the local chapter?
2.
__ No
How would you describe yourself – please check all that apply:
__
I am a person with intellectual and developmental disabilities.
__
I am a family member of a person with intellectual and developmental disabilities.
Please state your relationship – mother, brother, etc. and the age of your family
member with intellectual and/or developmental disabilities.
__
I am a professional in the field of developmental disabilities. Please state your
discipline, position, or other descriptive information.
__
I am a concerned citizen and wish to contribute my time and talents.
3.
Please indicate your professional background and expertise, such as Accounting, Attorney,
Fundraising, Marketing, Medical, Financial, Self Advocacy, etc.
4.
Please indicate your top 5 priorities in the following list: (Rate from 1-5 with 1 being the most
interested.)
__
__
__
__
Education/Special Education
Early Intervention
Children’s Issues
Legal Advocacy
__
__
__
__
Housing
Transportation
Employment
Health and Medical Care