Board Application Form Thank you for applying! Name* First Last Occupation* Phone*Type of Phone*VPVoiceOtherAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Are you...* Deaf Hard of Hearing Late Deafened Hearing Relevant community experience and/or employment:*Attach a resume if relevantAccepted file types: pdf, Max. file size: 2 MB.(PDF only)Why are you interested in serving as a Board member of DCS?*Have you attended at least two of the past DCS Board meeting?*YesNoMaybe/Not SureAre you committed to serving a full term (3 years)?*YesNoMaybe/Not SureDo you foresee any potential conflicts with attending a two-hour DCS Board meeting on the last Monday of each month?*YesNoMaybe/Not SureAre you willing to actively fundraise for DCS if training is provided?*YesNoMaybe/Not SureArea(s) of expertise/contribution you feel you can make to DCS as a Board member:*Are you willing to donate $10 per meeting to financially support DCS?*YesNoMaybe/Not SureWhat is one thing that you would like to see happen at DCS during your term if you are invited to become a DCS Board Member?*