Board of Directors – Down Syndrome Association of the Upstate

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone *

Type (Mobile/Home/Work) *MobileHomeWork

Email Address *

Current employment *

Role/Title *

Do you have a child with Down syndrome? *YesNo

If yes, what is the age of your child?

Are you currently a DSAU member? *YesNo

Why do you want to be a member of the DSAU Board of Directors? *

Have you ever served on a nonprofit board of directors? *YesNo

If yes, please describe your role and the organization.

What skills, talents, or experiences would you bring to the DSAU Board? (e.g., fundraising, finance, event planning, marketing, advocacy, DEI, public speaking, networking) *

Other Community Involvement: Please list any additional volunteer or civic roles, including approximate dates. *

Please select committees you would potentially be interested in joining (not limited to choosing 2) *EducationFamily Assistance ScholarshipFinanceFundraising (includes: Buddy Walk and Gala)Grant WritingMedical Outreach (includes: New/Expectant Parents, Aging Allies, Bereavement, & Family Care Fund)Website/Media Management

Signature *

Date *