IDD Services Advisory Committee (IDDSAC) Application Form

Please complete the online form below.

PERSONAL INFORMATION

First Name

Last Name

Street Number

Street Name

Street Type

Apt #

City

State

Zip

Sex

Male

Female

Primary Phone Number

Alternate Phone Number

Email Address

Occupation

Employer

RESIDENCY

Length of Residency in Bexar County

Are you a registered voter

Yes

ORGANIZATION MEMBERSHIP

Are you currently serving on other Boards, Commissions, or Committees?

Yes

Have you served on a Board, Commission, or Committee before?

Yes

If yes, which

Please list organization memberships and positions held

Please List Areas of Special Interest/Other Information for Consideration

RESUME

Upload Resume

Enter Basic Resume Information Below

LETTER OF RECOMMENDATION

Upload Letter of Recommendation

CONFLICT OF INTEREST

Please list all potential real or perceived conflict of interest by serving on this committee

By submitting this application I acknowledge and understand that membership on the IDD Services Advisory Committee (IDDSAC) requires commitment on my part, to complete all necessary members training, attend committee meetings, and to complete committee work projects timely. I will put great effort into understanding the issues coming before the committee, use my knowledge and experience toward the best interest for the people AACOG serves. I similarly acknowledge that the contributions of the committee members have a significant impact on the current and future business of AACOG and services to the citizens of Bexar County.