IDA-RMB Volunteer Information Form

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VISION STATEMENT

Our vision is to realize a future where all individuals with dyslexia are empowered to reach their highest potential.

MISSION STATEMENT

The Rocky Mountain Branch of the International Dyslexia Association advances the understanding of dyslexia and provides expertise in the science of literacy instruction.

Thank you for your interest in volunteering for The International Dyslexia Association’s Rocky Mountain Branch. Please fill out this information form so it may be shared with our Volunteer and Executive Committees for consideration.

Volunteers are an integral part of our organization and we encourage you to get involved. There are opportunities throughout the year! You may choose to volunteer on a consistent basis, on a committee, or help out at a specific event, like simulations. If you would like to volunteer but are unsure of where to become involved, please fill out our volunteer application and we will help you find the perfect fit.

Visit our website at www.idarmb.org for more information on our organization. For questions, please contact us at ida_rmb@yahoo.com.

Applicant Full Name *

Full Mailing Address *

Home Phone (if applicable)

Cell Phone

(If you enter more than one phone number, please indicate your preferred number with an asterisk *)

Preferred email address *

Employer *

Profession/Position *

Current Member of IDA? *

Yes

For how many years have you been a member of IDA?

I am a member of the following communities:

Education Community: (Educator, Learning Specialist, Speech-Language Therapist, Tutor, Diagnostician, Administrator)

Dyslexic Community (Individual, Parent, Family)

Medical Community (Doctor, Diagnostician, Mental Health Provider)

Advocate / Legal Community

School Community (Please type in district under the "Other" option below)

Other:

Please check the areas in which you are particularly interested in volunteering:

Community / Family Education

Conference / Special Events

Educational Programs

Finance / Accounting

Fundraising

Grants

Legislation/Legal Topics

Marketing/Public Relations

Simulations

Student Advocacy

Technology / Website

Other:

Do you have any specific skills, talents or other qualifications that you feel would benefit our organization? If so, please share below:
*

Please briefly explain any potential conflicts.

Please provide contact information as follows for one reference:

1. Full Name

2. Title/Organization

3. Phone Number

4. Email Address

Thank you!

Thank you so much for completing our volunteer application. A member of our board will contact you soon!

Please email us at ida_rmb@yahoo.com with any questions.

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