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.