Board Application Name(Required) Prefix Dr.MissMr.Mrs.Ms.Prof.Rev. First Last Credentials Preferred Phone Number(Required)Preferred Email Address(Required) Website / Portfolio / LinkedIn 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 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.Demographic(s) with which you identify:Ability Now Bay Area is committed to ensuring a diverse Board of Directors. Select all that apply. Black or African-American East Asian Hispanic or Latino Native American Pacific Islander South Asian White or Caucasian Multi-racial A Person with Disability Family of a Person with Disability LGBTQ+ Other If you selected "other" above, please list which additional demographic(s) you identify with that may be relevant: Position(s) for which you would like to be considered:(Required) Board Member Board Officer Committee Chair ANBA Program Volunteer Special Events Volunteer What makes you a prime candidate for the ANBA Board?(Required)Please provide information related to yourself as if you were a guest speaker at an event for an introduction. Please keep in mind that your information will be printed on the ballot and sent to Nomination Committee members.Do you have any leadership experience?Please detail up to 4 recent leadership roles.What is your experience, personal or professional, with the disability community?(Required)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
