NEXT Gen Candidate Survey

NEXT Gen Board Candidate Survey

Please fill out the survey below detailing your interest in joining the NEXT Gen Board.

After reviewing your application, we will get back to you shortly. We look forward to hearing from you.

Questions or comments? Reach out to NEXTGen@nextforautism.org and someone will help you soon after.

Name

First NameLast Name

Personal Email

example@example.com

Business E-mail

example@example.com

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone:

Format: (000) 000-0000.

Preferred way to contact you:

If e-mail, please confirm whether your prefer your personal, business, or both.

Where do you currently reside?

Gender

Pronouns

How did you hear about the NEXT Gen Board?

Why would you make a great NEXT Gen Board Member?

What are your goals for the NEXT Gen Board as prospective board member?

What committee would you be interested in spearheading?

Are you comfortable making/having a financial commitment as NEXT Gen Board Member?

If yes to the above, how might you hit your goal?

Have you volunteered with NEXT for AUTISM before?

If yes to the above, when?

Birthday

Date

Did you attend Undergraduate School? If so, where?

What industry do you work in?

Company Name and Title

Attach your resume and/or related documents that you'd like us to review:

Please feel free to include any additional information below: