Board Skills Inventory – American Indian Family Center

Contact Information

Name*

First Last

Email*

Phone

Address

Street Address Address Line 2 City State ZIP Code

Demographics and Background

Employer*

If currently employed, who is your employer? If retired, please indicate Retired and your previous employer. If you are not currently employed, please indicate N/A,

Years on Board

How many years have you served on the AIFC Board of Directors?

Gender*

Age

Marital Status

Highest Level of Education Attained

High School
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
Some College
Other
Prefer Not to Answer

Race/Ethnicity*

Please select all that apply.

American Indian and Alaska Native
White
Black or African American
Asian
Native Hawaiian and Other Pacific Islanders
Two or more races

Affiliation

Please select all that apply.

Community Member
Elder
Former Client/Client Related
Corporate
Government
Agency Partner

Skills and Experience Identification

Knowledge, Skills and Experience*

Please select all areas in which you indicate having knowledge, skills and/or experience.

Comments on Knowledge, Skills and Experience

Please share any comments or notes on specific knowledge, skills and experience that you feel we should know!

Name

This field is for validation purposes and should be left unchanged.