Leadership and Volunteer Survey for AGB and Academy

Leadership and Volunteer Survey for AG Bell and the AG Bell Academy
AG Bell and the AG Bell Academy for Listening and Spoken Language engage with volunteers to help spread Listening and Spoken Language (LSL) across the world through various types of work. Volunteer opportunities can include membership or participation on:
- Committees
- Task Forces
- Focus Groups
- Board of Directors
- Article/Content Writing
Please complete this form if you have an interest in doing volunteer work through AG Bell or the AG Bell Academy:
Name*

First NameLast Name
Credentials
If applicable
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Work Place/ Setting
Job Position
Please select all options that apply:

I am a professional who works with individuals who are DHHI am a parent of a child who is DHHI am an individual who is DHHOther
I am interested in participating in volunteer work with (check all that apply):

AG BellAG Bell Academy for Listening and Spoken Language
What types of volunteer work are you interested in (check all that apply)?

CommitteesTask ForcesFocus GroupsBoard MemberArticle/Content WriterOther
Do you have any special knowledge or skills on particular topics that you would like to share with parents or professionals through outlets such as AG Bell webinars or Parent Chats?
Please tell us about any special knowledge or skills you possess that can help you in any other type of volunteer role with either AG Bell or the AG Bell Academy:
What skills and talents do you believe you possess or have been told you exhibit as a leader?
Are there are ways you would like to develop or employ your leadership through volunteer work to support, improve upon or change the work being done?
I would be available to participate in volunteer opportunities that take:

about 3 to 5 hours per monthabout 3 to 5 hours in a three-month periodabout 3 to 5 hours in a six-month periodabout 3 to 5 hours per year
AG Bell and the AG Bell Academy is involved in work internationally and would find it helpful to know what languages you understand and speak (check all that apply):

Mandarin ChineseSpanishHindustani (Hindi/Urdu)ArabicMalayRussianBengaliPortugueseFrenchHausaPunjabiGermanJapanesePersianSwahiliVietnameseTeluguItalianJavaneseWu ChineseKoreanTamilMarathiYue ChineseOther
What languages are you able to read? (check all that apply)

Mandarin ChineseSpanishHindustani (Hindi/Urdu)ArabicMalayRussianBengaliPortugueseFrenchHausaPunjabiGermanJapanesePersianSwahiliVietnameseTeluguItalianJavaneseWu ChineseKoreanTamilMarathiYue ChineseOther
Please share any additional comments you may have and feel would be of benefit in a volunteer opportunity:
Please upload your Curriculum Vitae/Resume here:

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Leadership and Volunteer Survey for AG Bell and the AG Bell Academy