Are you serving or have you served on a nonprofit board since completing Leadership Winston-Salem? We would like to know what involvement you have sought since that time. Please complete this very brief survey to help us understand the impact you and Leadership Winston-Salem have in our community.

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1. Name

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2. Class Year

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3. I currently serve on the board(s) for these organizations: (Please list all current nonprofit organizations.)

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4. I currently serve on committee(s) for these organizations: (Please list all current nonprofit organizations.)

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5. I previously served on the board(s) for these organizations: (Please list all previous nonprofit organizations.)

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6. I previously served on committee(s) for these organizations: (Please list all previous nonprofit organizations.)

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7. List any nonprofit involvement that does not fit the descriptions above.

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