Call for DEC Publications and Products Advisory Committee Members

Call for DEC Publications and Products Advisory Committee Members

Please complete the following form if you meet the qualifications and expectations identified in the call.
Name*

First NameLast Name
Email*
example@example.com
Place of Employment/Institutional Affiliation (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership

You must be a member of both CEC and DEC to be a committee member. You can sign in here to check on your current membership or you can call CEC at 1 (888) 232-7733.

Note: If you do not have an active membership and need assistance obtaining one, you can obtain one following the Committee appointment process.
Are you a current DEC member?*

YesNo
Please enter your CEC/DEC Member ID.
What date will your membership expire?

MonthDayYear
Date
Role
Title/Role: (Select your current primary role)*

Administrator/CoordinatorAdvocateAssociation LeaderBehavior Specialist/Mental HealthChild Care ProviderConsultant/Trainer/TA ProviderEarly Childhood EducatorEarly Childhood Special Education TeacherEarly Intervention PractitionerElementary Special Education Teacher (5+)Family MemberHead Start/Early Head Start ProviderHealth Care Provider/Public Health ProfessionalHigher Education FacultyOccupational TherapistParaprofessionalPhysical TherapistPolicymakerPsychologist/School PsychologistResearcherService CoordinatorSocial WorkerSpeech and Language TherapistState Administrator/StaffStudentOther
If you did not select family member above, are you also a family member of a young child with a disability?

YesNo
Experience and Interest
Tell us why you are interested in joining this committee. What strengths, perspectives, and skills would you bring to this committee?*
Describe your experience with and commitment to racial equity and itsintersectionality with other forms of oppression (e.g., ableism, classism, sexism)?(See DEC’s Racial Equity Audit and DEC’s Racial Equity Point of View* for more information related to DEC’s position on racial equity).*
*Access the Racial Equity Audit here and the Racial Equity Point of View here.
What ideas do you have to strengthen DEC’s impact within DEC’s publications andproducts?*
Please upload a copy of your resume/CV. (Note: The format is open. The goal is to understand your relevant experience.)*

Browse Files
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Demographic Information

Please enter "Prefer not to say" in the open fields below if you would prefer not to answer.
Gender*
Race/Ethnicity*
Commitment & Contributions
Are you willing to serve a two-year term with possible reappointment?*

YesNo
Are you willing to attend and contribute to monthly project work and team conference calls? Members must commit to attending all meetings and completing work between monthly meetings.*

YesNo
Are you willing to make the necessary time commitment (average 5 hours/month with opportunity to increase pending Committee tasks and activities)?*

YesNo
Have you read and fully understand the requirements, responsibilities, and time commitments expected of the Publications and Products Advisory Committee?*

YesNo
Please list any additional comments below.
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