Learning Disabilities Association of America:           Board of Directors Application
Please answer all questions. Write or select N/A if a question does not apply to your personal or professional background. A Learning Disabilities Association (LDA) of America Nominating Committee member will follow-up with you once your application is reviewed.

This form is due August 30, 2022. If you plan to complete a printed version of the form, send it to jaumeiko@gmail.com.

Contact Jaumeiko Coleman (jaumeiko@gmail.com) if you have any questions.
Sign in to Google to save your progress. Learn more
First and Last Name *
Home Address *
Home/Personal Cellular Phone Number *
Email Address *
Are you: (check all that apply) *
Required
What is your educational background (include universities attended, degrees earned, year of graduation)? *
Employer and Position Title (write N/A if this is not applicable) *
List any work positions held in the past 5-10 years that align with LDA's mission (write N/A if this is not applicable). *
Share your board experience (write N/A if this is not applicable). *
Share any other leadership experience (write N/A if this is not applicable). *
Describe your leadership style. *
Share your volunteer experience beyond board and broad leadership work (write N/A if this is not applicable). *
Share any unique experiences you think could be relevant to your work on the LDA Board of Directors. *
List any sororities/fraternities to which you were or are affiliated (write N/A if this is not applicable). *
List any pertinent club memberships (write N/A if this is not applicable). *
List any civic organizations of which you are a member (write N/A if this is not applicable). *
List any churches/synagogues of which you are a member (write N/A if this is not applicable). *
List any professional associations of which you are a member (write N/A if this is not applicable). *
List any culturally specific or community-based organizations of which you are a member (write N/A if this is not applicable). *
What is your interest in being an LDA board member? *
What interests you about LDA's mission? *
What pertinent issues are most vital for the work of the LDA Board of Directors? *
How would you change how we approach learning disabilities as a nation? *
Do you have a passion for supporting individuals with learning disabilities and their families as well as addressing issues they face ?
Clear selection
General Management Skills (check all that apply) *
Required
Organizational Development/Training Skills (check all that apply) *
Required
Marketing/Public Relations Skills (check all that apply) *
Required
List any political or community connections (write N/A if not applicable). *
Communications Skills (check all that apply) *
Required
Facilities/Events Skills (check all that apply) *
Required
Financial Management Skills (check all that apply) *
Required
Fund Development Skills (check all that apply) *
Required
List any personal connections to people of influence (write N/A if this is not applicable). *
Legal Skills (check all that apply) *
Required
Program/Professional Development Skills (check all that apply) *
Required
Elected LDA board members serve a 3-year term. Are you able to commit to a 3-year term? *
There are 3-4 in-person or virtual LDA board meetings each year. Are you able to attend the board meetings? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Learning Disabilities Association of America. Report Abuse
Google Forms