Board Application



Hearing Loss Association of Florida Application

Complete the application below and submit for review by the HLAA-Florida Nominating Committee.
  • Voluntary Information

    Complete all that apply. Insert n/a where not applicable. If you are not presently a National HLAA member, simply visit hearingloss.org and complete the membership application on line and provide a copy of the registration with your application. Contacting the Nominating Committee with any questions you may have.
  • To serve on the HLAA-Florida State Association Board, you must have a reliable internet connection, email address, and the commitment to respond within the time frame set by the President as it relates to all internet communication. By signing this application, you are acknowledging and accepting this requirement.

    I hereby affirm the information included in this application, as well as in any attached documents, is both accurate and truthful.

  • As a Board of Trustee member, I pledge to work with other members to oversee and execute the MISSION of the Hearing Loss Association of America and the HLAA-FL State Association Board by the following: 1. Help enable people with hearing loss and their families in the State of Florida to meet the challenge of hearing loss and to participate in the mainstream of an enlightened society through information, education, advocacy and support. 2. Help raise and manage the funds to support the above objectives. 3. To achieve the above goals subject to the HLAA-Florida State Association By Laws and Strategic Objectives. 4. Attend and participate in 3 of the 4 quarterly Board meetings. 5. Serve as an Officer or Committee Chair and/or serve on at least one HLAA-Florida State Association Committee. 6. Attend and participate in at least one HLAA-Florida State Association event. 7. Support my local Chapter and act as a HLAA-Florida State Association representative at all times. 8. Make a financial contribution to HLAA-Florida State Association each calendar year. I understand my annual evaluation by the HLAA-Florida Executive Committee will be based on their assessment of my performance in meeting the above responsibilities.