Please complete the following questionnaire and click the Submit button to send it to HIDA.



Date:
* Name:
* E-Mail:
Mailing address:
* Reason for interest:

Parent Teacher

Medical Professional

Adult with Dyslexia

Education Administrator

Tutor

Other (describe)

* I would like to help with :

Serving on a committee

Fundraising

Publicity

Telephoning

Hosting a HIDA Membership table at conferences & workshops

Photocopying & other office work

Silent Auction

Hospitality for events

Member open houses

I am willing to lend these other skills and talents to HIDA

* I have experience with:

Helping parents advocate for their children in school system

Speaking to public groups on dyslexia

Teaching/ Presenting

Organizing a support group for

Other

* Indicates required field