FRID Committee Application Form

If you are interested in serving on a FRID committee, please complete this application and send it with your resume and a letter of interest to the Secretary, Sue Ann Pope, Secretary@FRIDcentral.org

Download and print the form (.pdf) - Committee Application Form

CONTACT INFORMATION

Name (Mr., Mrs., Ms., Dr.): ________________________________________________________________

Address: _______________________________________________________________________________

(H) Phone: _________________________________ (W) Phone: __________________________________

Fax: ____________________________________ E-Mail: ________________________________________

Member Category: _______________ Local Chapter: _________________ Credentials: _______________

FRID COMMITTEE INTEREST

Listed below are committees currently in place. If you wish to serve on any of these committees please indicate your preference below (use 1st, 2nd, 3rd, etc.).

Standing Committees

___ Bylaws Committee

___ EIE Testing Committee

___ FACC - FRID Annual Conference

___ LAC - Legislative Action Committee

___ Membership Committee

___ Professional Development

___ Editorial Committee

___ Multimedia Committee

Ad Hoc Committees

___ Deaf Membership Criteria Task Force

            ___  EIE Task Force

Check all that apply:

_ Yes, I have read the committee profiles for committees which I am interested in serving.

_ Yes, I have spoken with a member of the committee for which I am interested in serving.

_ No, I have not spoken with a member of committee for which I am interested in serving.

FRID COMMITTEE PROFILES

The FRID Board of Directors, in collaboration with current committee chairs, has developed profiles for each committee. The profiles clarify the committees’ purpose, objectives, goals and membership qualifications. Committee profiles are available at www.FRIDCentral. org.

DEMOGRAPHIC INFORMATION

FRID attempts to balance all appointments according to numerous demographic categories, including but not limited to, membership categories, experience, gender, location and ethnicity. If you would like to indicate your demographic information, please do so. However, this information is not required.

_ American Indian/Alaska Native

_ Asian/Pacific Islander

_ African American

_ Caucasian (not of Hispanic origin)

_ Hispanic

_ Other Ethnicity, specify ______________________________

_ D/deaf    _ Hard-of-Hearing  _ Hearing

Area of the state: _ North  _ South  _ Central West  _ Central East