intelaide/intelaide-backend/python/bkup_rid/volunteer-leadership-app.txt

Volunteer Leadership Application Form
Step 1 of 4


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If you are interested in serving on an RID volunteer group, please complete
this application and attach your resume. Council and Committee volunteers
serve from the conclusion of one biennial national conference to the next
biennial conference (2 years). If you have any questions, please email
Volunteer@rid.org.

### PERSONAL INFORMATION

Membership Category(Required)

Associate

Certified

Student

Non-Member

Supporting Member

Member ID(Required)

Region you currently live in(Required)

Region I (Connecticut, Delaware, Maine, Massachusetts, New Hampshire, New
Jersey, New York, Pennsylvania, Rhode Island, Vermont, West Virginia)

Region II (Alabama, Florida, Georgia, Maryland & District of Columbia (Potomac
Chapter), Mississippi, North Carolina, South Carolina, Tennessee, Virginia)

Region III (Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio, Wisconsin)

Region IV (Arkansas, Colorado, Iowa, Kansas, Louisiana, Missouri, Montana,
Nebraska, New Mexico, North Dakota, Oklahoma, South Dakota, Texas, Wyoming)

Region V (Alaska, Arizona, California, Hawaii, Idaho, Nevada, Oregon, Utah,
Washington)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone Number

Video Phone Number

Text Number

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Certifications(Required)

CDI

CI

CLIP

CLIP-R

CSC

CT

Ed:K-12

EIC

ETC

IC

IC/TC

MCSC

NAD III

NAD IV

NAD V

NIC

NIC Advanced

NIC Master

OIC:C

OIC:S/V

OIC:V/S

OTC

Prov. SC:L

RSC

SC:L

SC:PA

TC

None

Other (BEI, State Screening, EIPA, CPA...)

Additional Certification(s):

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Education(Required)

Associate

Bachelors

Masters

PhD

Other

Please specify(Required)

###

Years of interpreting experience(Required)

Please enter two digits: "01" for 1 year

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### VOLUNTEER GROUPS

RID volunteers are involved in carrying out the mission and strategic plan of
the association. Please select the volunteer groups that you are interested
in.

Please find each group's Scope of Work [here](https://rid.org/about/volunteer-
leadership/)

Which group are you interested in being considered for?(Required)

Council of Elders

Deaf Advisory Council

Diversity Council

Religious Interpreting Task Force

Audit Committee

Board of Editors

Certification Committee

Finance Committee

Professional Development Committee (PDC)

Scholarships and Awards Committee

Which Position Paper(s) do you believe are the best fit for offering your
experience and expertise?

Performing ArtsDeafBlindTrilingualLegalDisaster ResponseMental HealthOral
TransliterationTeamingK-12VRICDISocial ActionBehavioral HealthConference

Please type your choices in order of preference if you selected more than one
group.

Are you currently serving on a national-level Committee, Task Force, Council,
or workgroup?(Required)

Yes

No

Specify Name

Which national-level Committee(s), Task Force(s), Council(s), or workgroup(s)
are you currently serving on?

Are you representing an organization?(Required)

Yes

No

Name of Organization

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### DEMOGRAPHICS

RID strives for diversity at all levels within our volunteer groups, looking
at characteristics including, but not limited to, member status, geographical
location and identity groups (i.e., race, ethnicity, age, gender, sexual
orientation, disability, etc.), as well as area of professional experience and
expertise. This commitment to diversity is to ensure that a solid cross-
section of the membership is represented and incorporated into the decision-
making process. The following is an opportunity for you to list demographic
information about yourself. While it is not required, this information would
be very valuable input and greatly appreciated. Check all that apply:

Race and Ethnicity

American India/Alaska Native

Asian/Pacific Islander

Caucasian (not of Hispanic origin)

Hispanic

African American/Black

Latinx

Other race, ethnicity or origin

Prefer to self-identify (you may self-identify below)

Prefer not to say

Other race, ethnicity or origin

Self-Identify

Gender

Cisgender Female

Cisgender Male

Non-Binary

Transgender

Prefer to Self-identify

Prefer not to answer

Self-Identify

Cultural Affiliation

Deaf

DeafDisabled

DeafBlind

Hard-of-Hearing

Hearing

Deaf-parented interpreter: Deaf

Deaf-parented interpreter: CODA

Prefer to self-identify

Other  

Self-Identify

ASL fluency scale

Native

Near Native

Advanced

Intermediate

Novice

None

All RID meetings are conducted in ASL. Should you require accommodation to
participate in the group meetings, please check here:

Sexual Orientation

Queer

Gay

Lesbian

Bisexual

Asexual

Pansexual

Questioning

Heterosexual

Prefer to self-identify

Prefer not to answer

Self-Identify

Please submit a letter of interest. You can submit this letter in either
English (by copy/pasting into the box below) or you can submit a link to an
ASL video. Your letter of interest should include information on: \- the
reasons you are interested in becoming a volunteer on these committees, \-
what is your relevant experience, and  \- what are your vision and goals for
these committees? Also, if you are interested in more than one Committee,
Council, Task Force, or work group, indicate your order of preference. If you
are writing in English, you can either copy/paste the contents into the box
below, or you can upload a complete letter as a file.  If you are submitting
an ASL video, you can post the link below.

Letter of interest:

Video Link for ASL Response to "Letter of interest":

Following are the steps you need to take to submit your information via
YouTube. Once uploaded, enter here the secure link to your video. By following
the instructions below, your video will NOT be viewable by the public. ONLY
people who have the secure link can view your video. After signing up/logging
into your YouTube account: Click the "Upload" button at the top of the screen.
Select the video you want to upload. Create a title for your video, and add
your full name and what you are applying for in the "Description" field.
Choose "Unlisted" from the "Privacy Settings" dropdown menu. Disregard all of
the other fields and checkboxes. Copy/paste the video link above.

### FILES

Please upload your resume or CV (required!) - and letter of interest, if it is
a separate file:(Required)

Drop files here or  Select files

Max. file size: 300 MB.

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### VOLUNTEER AGREEMENT

CONFIDENTIALITY, OWNERSHIP, AND NON-DISCLOSURE(Required)

I acknowledge that in connection with my service as a volunteer with the
Registry of Interpreters for the Deaf, Inc. (RID) on the national, regional,
state, and/or local level, I will have access to and may become aware of
confidential information, including, without limitation, information regarding
procedures, methods, and data used by RID in the evaluation, education,
monitoring, and guidance of interpreters throughout the country.

I further acknowledge that any information that is shared with me or accessed
by me during my service with RID that is identified as “confidential” or that
has not been made publicly available by RID is deemed to be of a confidential
nature and is owned as a proprietary right by RID.

I agree that I will not allow any third party to have access to any materials
containing such confidential information provided to me by or on behalf RID;
that, upon RID’s request or upon the completion of my volunteer service with
RID, I will delete, destroy, or return to RID any such materials in my
possession; and that I will not reproduce any such materials by any means,
including memorization or recall.

I further agree that I will not use such confidential information for any
purpose other than the scope of work assigned to me as a RID volunteer and
will not disclose it to any third party during my service with RID or
subsequent thereto, unless otherwise authorized by RID in writing.

I acknowledge that RID may pursue legal action for any violation of this
Agreement or other improper use of such confidential information by me or by
others through me, and that RID, in connection with such action, may use this
Agreement, and may seek all available remedies, including without limitation,
injunctive relief, damages, and attorney’s fees and costs.

### DISCLOSURE

Conflict of Interest(Required)

I understand and agree that, if during my time of service a new conflict of
interest or an appearance of conflict should arise, I must notify RID in
writing within 30 days of such occurrence. I understand that an actual or
apparent conflict of interest may disqualify me from volunteer service or
continued volunteer service with RID.

Reporting(Required)

I have no actual or apparent conflict of interest to report at this time.

I have the following actual or apparent conflict(s) of interest to report
(please specify):

(Required)

### ACKNOWLEDGEMENT

Signature(Required)

I agree to the foregoing and I certify that the information I have provided in
this form is true and complete to the best of my knowledge. I further certify
that I have read and I agree to comply with all of the requirements in the
Volunteer Leadership Manual including all appendices while serving as a
volunteer of RID.

(Required)

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