Name:
Title:
Organization:
Address:
City, Postal Code:
Telephone:
Day E-mail:
Source of referral/information:
Evening
Special Skills:
Fund-Raising
Personnel/Human Resources
Finances
Business
Marketing/Public Relations
Technology
Legal 0 Other:

Professional Backqround
For-profit business
Government
Nonprofit organization
Other:
Education
Some high school
High school graduate
Some college
Other:
Undergraduate college degree
Some graduate coursework
Graduate degree or higher

Other affiliations:
Other board service:
Known levels of giving:
Other pertinent information:

From "The Board Development Planner" National Centre Nonprofit Boards

back to table of contents