IC Board Application Form

IC Board Member Request Form

Name(Required)
Email Address(Required)
Address
Ethnicity(Required)
This field is for Grant Reporting Only. You may select more than one.
List boards/committees you serve(d) on (business, civic, community, fraternal, political, professional, recreational, religious, social). List Organization Name, Your Role/Title, and Dates of Service
List Education/Training/Certifications
Have you received any awards/honors you'd like to mention
List any groups, organizations or businesses that you could serve as a liaison to on behalf of Inclusion Connections

Other Information

Employer Address
List your skills, hobbies, areas of interest
This field is for validation purposes and should be left unchanged.

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Inclusion Connections provides classes and activities specially designed for young people with developmental disabilities. 

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Give & Get Involved

Inclusion Connections provides classes and activities specially designed for young people with developmental disabilities. 

Corporate Giving

Individual Giving

Volunteer

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