Board of Directors Survey

Name(Required)

First Last

Compliance & Oversight

I have read the governing bylaws

Yes

No

I have read the volunteer handbook

Yes

No

I have signed a conflict of interest statement for this calendar year

Yes

No

I have signed a Form 990 for this calendar year

Yes

No

Board Participation

The sector I represent is:

Government

Private

Community/Head Start Policy Council

Director Emeritus

CAT Committee(s) I serve on:

Executive Committee

Personnel/Succession Committee

Finance Committee

My role on the Executive Committee has been:

Chair

Chair Elect

Past Chair

Secretary/Treasurer

Member At Large

How long have you served on the Board?

When did you join the Board?

Household Size

How many people live in your household?

I reside in:

Columbia County

Clatsop County

Tillamook County

Demographics

Gender

Age

Race

Education Level

Are you of Hispanic or Latino Descent?

Housing Situation

Living with a disability?

Yes

No

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Income Level

Board of Directors Survey