IDA-IA Interest Form

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Are you interested in finding out more about IDA-IA or how you can get more involved? If so, please complete this form and we will get back to you with more information. If you have any questions, please contact Tammy Wilgenbusch at tammy-wilgenbusch@uiowa.edu.

First and Last Name *

Preferred contact e-mail: *

Are you currently a member of IDA-IA?

Yes

Unsure

Clear selection

What is your connection to dyslexia? Check all that apply.

Parent of an indivdiual with dyslexia

Teacher

Person with dyslexia

Tutor or other eduational professional

Speech/Language Pathologist

Other Allied Health Professional (E.g. Psychologist, Physician, Social Worker, etc)

Other:

Please provide a brief bio so we can get to know you.

In what way are you looking to become involved with IDA-IA? Mark all that apply. *

Serving as a board member

Serving as a executive officer

Serving on a committee

Helping with the conference

Helping with social media

Fundraising

Unsure, but would love to learn more

Required

Which committee would you be interested in learning more about?

Budget and Finance/Fundraising

Membership

Education

Unsure, but would love to learn more

Submit

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