DSAIA Leaders Circles

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Leaders' Circles are peer-mentoring opportunities for DSAIA leaders and are offered at no charge to DSAIA members. Small groups meet monthly for a 90-minute conference call during which challenges are shared and discussed. Circle members are asked to make a commitment to attend each and every session possible. Space is limited and not all applicants may be placed.

Please complete this form with your interest areas and contact information and we'll be in touch with next steps in the Spring!

First and Last Name *

Your DSA/Organization Name *

Your Title *

Your Cell Phone *

Your Email *

Your DSA/Organization's Budget *

Less than $50,000

$50,000-$99,999

$100,000-$249,999

$250,000-$499,999

$500,000+

About how many families does your organization serve? *

What leaders circle topic(s) interests you? *

Executive Director

Board Member

Programming (Virtual and in person)

Outreach- New Parent and General

DSA Staff Member (non ED)

Self Advocates (I am a self-advocate who serves within an organization and wants to be on a Leaders' Circle for self advocates)

Other:

Required

What best describes you role? *

Executive Director

Program Coordinator

Board Member

Other Staff

Required

What is your preferred weekday meeting time? *

What is your time zone? *

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