Board Application Step 1 of 2 50% Personal & Contact InformationName(Required) Prefix Dr.MissMrs.Ms.Prof.Rev. First Last Preferred PronounsThey/ThemHe/HimShe/HerOther or Prefer Not to SayCredentialse.g. CPA, PMP, MBA, MFCC, RN, etc. Credentials Preferred Mailing Address(Required) Street Address Address Line 2 City State 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 ZIP Code Preferred Phone Number(Required)Alternative/Work Phone NumberPreferred Email Address(Required) Preferred Fax NumberWebsite / Portfolio / LinkedIn Current or Most Recent Employer(Required) Current or Most Recent Position(Required) Highest Level of Education Completed(Required)Highschool DiplomaAssociate DegreeBachelor's DegreeMaster's or Professional DegreePh.D or Doctoral DegreeEducational Institution(Required) Demographic(s) with which you identify (Optional):ANBA is committed to ensuring a diverse Board of Directors as a reflection of its diverse membership. ANBA seeks Board member applicants with diverse backgrounds, experiences and perspectives reflecting the full diversity of our economy and society. Please place a checkmark(s) below where applicable. Black or African-American East Asian Native American / American Indian Pacific Islander Hispanic or Latino South Asian White or Caucasian Multi-racial Other Ethnic or Racial Identity A Person with Disability Family of a Person with Disability If you selected "other" above, or would like to provide additional information on your identity or tribal affiliation, please include those specifics here: Share contact info with Ability Now Bay Area? Please add the above information to the Ability Now Bay Area mailing lists for organization news and donor opportunities. Personal, Professional & Leadership HistoryLeadership Experience(Required)Please list up to four (4) of your most recent leadership experiences including paid employment and volunteer positions. OrganizationPositionYears Add RemoveTell us about yourself.(Required)Please provide a biographical and professional summary as if you are to be introduced as a guest speaker at an event. Include any relationships or exposure you have had with a person with a disability. Your information will be shared with Application Review Committee members.How did you learn about Ability Now Bay Area?(Required)If someone associated with Ability Now referred you, please include their name.Do you have significant experience and knowledge to offer the Board in any of these areas? Government regulation, policy, funding & strategy WRT serving people with developmental disabilities Local or State political leadership Estate, trust, real estate and general practice law Administration/Management Facilities management Strategic planning Digital marketing & fundraising Fundraising & outreach Legacy/Planned giving Public Relations Professional development Team-building Volunteer & staff relations Culinary expertise Other If you selected "other" above, please list any expertise that can be of value to the Board. Please attach CV or résumé with the following information:(Required)• Name and credentials • Current employment and position • Work experience (Years) • Experience with Ability Now Bay Area, including any offices held, committee chairs, and volunteer activities • Other volunteer leadership experience • EducationAccepted file types: pdf, jpg, png, doc, docx, Max. file size: 16 MB.Consent(Required) I share this information freely with the Board of Ability Now Bay Area for the purposes of my application and attest to its accuracy to the best of my knowledge Skip back to main navigation