Board of Directors Application

Personal Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Diversity and inclusion is at the core of The Arc of the Capital Area’s mission. We strive to embrace diversity at all levels of our organization, including leadership.
Ethnicity
Choose all that apply
If other, please explain
Language
If other, please explain
Gender