Testing Survey Form 2: Community Engagement

Name*

Position/Title*

Location*

Do you currently or have you ever served on the board of a Nonprofit/Charitable, Civic or Governmental Organization ?*

Ex: Boy Scouts of America, United Way of Central Al, etc

Yes
No

If you are a current member of multiple organizations, you will have the ability to add additional organizations after completing this form.

Organization Name

Organization Type?

Location of Organization

Position Held

Service Status?

Past
Current

Briefly describe the mission of the organization

Please list any Civic or Community Initiatives that you are passionate about and briefly describe them

List in order of importance in the following format by pressing 'return' after each initative. If you have already submitted initiatives previously, leave this field blank.

Environmental: Recycling

Women’s Initiatives: Mentoring young women

Education: Reading to children at local library

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Testing Survey Form 2: Community Engagement