CATS Board Application 2027

1
Full legal name* This field is required.
First Name
Middle Name
Last Name
2
Preferred name
3
Home address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
City* This field is required.
5
State* This field is required.
6
ZIP code* This field is required.
7
Cell phone* This field is required.
Please enter a valid phone number.
8
Email address* This field is required.
example@example.com
9
Why would you like to serve on the CATS Board of Directors?* This field is required.
10
What connection, experience, or interest do you have with autism, neurodiversity, disability inclusion, or the CATS mission?* This field is required.
11
What do you hope to contribute and gain through board service?* This field is required.
12
Skills and Experience* This field is required.
Board governance / leadership
Finance / accounting
Fundraising / development
Grant writing
Marketing / communications
Legal / compliance
Strategic planning
Program evaluation
Community outreach
Operations / administration
Technology / data
Human resources
Other
13
Other skill or perspective
14
Committee and Work Interests* This field is required.
Governance / nominations
Finance
Fundraising / development
Outreach / communications
Programs / events
Membership / engagement
15
Describe the specific expertise, relationships, lived experience, or resources you could bring to CATS* This field is required.
16
How would you help CATS expand opportunities and belonging for autistic and neurodivergent adults?* This field is required.
17
Current employer / organization* This field is required.
18
Current title / role* This field is required.
19
Briefly describe your responsibilities or professional experience relevant to board service* This field is required.
20
Organization 1
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Organization 1 - Role / dates
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Organization 1 - Responsibilities, accomplishments, and approximate monthly time commitment
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Organization 2
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Organization 2 - Role / dates
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Organization 2 - Responsibilities, accomplishments, and approximate monthly time commitment
26
Describe a community or professional accomplishment that best demonstrates your leadership or service
27
List any community awards, recognition, certifications, or relevant training
28
Initials - Prepare for and attend at least 75% of scheduled board meetings* This field is required.
29
Agree to prepare for and attend at least 75% of scheduled board meetings* This field is required.
Yes
30
Initials - Actively serve on at least one committee or board initiative* This field is required.
31
Agree to actively serve on at least one committee or board initiative* This field is required.
Yes
32
Initials - Attend and support CATS programs, events, and community activities when able* This field is required.
33
Agree to attend and support CATS programs, events, and community activities when able* This field is required.
Yes
34
Initials - Participate in fundraising, sponsorship, donor engagement, or resource development* This field is required.
35
Agree to participate in fundraising, sponsorship, donor engagement, or resource development* This field is required.
Yes
36
Initials - Serve as a positive ambassador for CATS and protect confidential information* This field is required.
37
Agree to serve as a positive ambassador for CATS and protect confidential information* This field is required.
Yes
38
Initials - Support respectful, accessible, person-centered, and neurodiversity-affirming practices* This field is required.
39
Agree to support respectful, accessible, person-centered, and neurodiversity-affirming practices* This field is required.
Yes
40
Initials - Disclose actual or potential conflicts of interest and follow board policies* This field is required.
41
Agree to disclose actual or potential conflicts of interest and follow board policies* This field is required.
Yes
42
Estimated hours available for CATS board service each month* This field is required.
43
Best meeting days / times* This field is required.
44
Is there anything that could limit your participation or any accommodation that would support your board service?
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Reference 1 Name* This field is required.
First Name
Middle Name
Last Name
46
Reference 1 Relationship* This field is required.
47
Reference 1 Phone* This field is required.
Please enter a valid phone number.
48
Reference 1 Email* This field is required.
example@example.com
49
Reference 2 Name* This field is required.
First Name
Middle Name
Last Name
50
Reference 2 Relationship* This field is required.
51
Reference 2 Phone* This field is required.
Please enter a valid phone number.
52
Reference 2 Email* This field is required.
example@example.com
53
Applicant name (printed)* This field is required.
First Name
Middle Name
Last Name
54
Date* This field is required.
Date
Month
Day
Year
55
Applicant signature* This field is required.
56
Referred by (if applicable)
Should be Empty: