Board Application

First Name

Last Name

Occupation

Phone

Type of Phone

Address

Are you...

Deaf Hard of Hearing Late Deafened Hearing

Relevant community experience and/or employment:

Why are you interested in serving as a Board member of DCS?

Have you attended at least two of the past DCS Board meeting?

Are you committed to serving a full term (3 years)?

Do you foresee any potential conflicts with attending a two-hour DCS Board meeting on the last Monday of each month?

Are you willing to actively fundraise for DCS if training is provided?

Area(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?

What 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?