2022-23 ACCP Board Nomination Application Survey

Question Title

* 1. Contact Information

Name

Company

Internal Title

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. Are you the department or division head?

Yes

Question Title

* 3. If no, how many levels are between you and the department or division head?

I report directly to the department or division head

I report to someone who reports to the department or division head

Other (please specify)

Question Title

* 4. Number of years in CSR field:

Question Title

* 5. Other Boards or committees on which you currently serve:

Question Title

* 6. Please indicate any relevant functional expertise as defined below:
1) on-the-job responsibility (2+ yrs.)
2) functional leadership on another board (2+ yrs)
3) working knowledge of the function but not expertise
4) limited knowledge
Please choose one answer for each area.

	Functional Leadership in Company	Functional Leadership on Another Board	Working Knowledge but not Expertise	Limited Knowledge
Finance-Budget/Accounting	Finance-Budget/Accounting Functional Leadership in Company	Finance-Budget/Accounting Functional Leadership on Another Board	Finance-Budget/Accounting Working Knowledge but not Expertise	Finance-Budget/Accounting Limited Knowledge
Marketing & Communications	Marketing & Communications Functional Leadership in Company	Marketing & Communications Functional Leadership on Another Board	Marketing & Communications Working Knowledge but not Expertise	Marketing & Communications Limited Knowledge
Technology Management	Technology Management Functional Leadership in Company	Technology Management Functional Leadership on Another Board	Technology Management Working Knowledge but not Expertise	Technology Management Limited Knowledge
Risk Management	Risk Management Functional Leadership in Company	Risk Management Functional Leadership on Another Board	Risk Management Working Knowledge but not Expertise	Risk Management Limited Knowledge
Fundraising	Fundraising Functional Leadership in Company	Fundraising Functional Leadership on Another Board	Fundraising Working Knowledge but not Expertise	Fundraising Limited Knowledge
Legal	Legal Functional Leadership in Company	Legal Functional Leadership on Another Board	Legal Working Knowledge but not Expertise	Legal Limited Knowledge
Governance	Governance Functional Leadership in Company	Governance Functional Leadership on Another Board	Governance Working Knowledge but not Expertise	Governance Limited Knowledge
Diversity, Equity & Inclusion	Diversity, Equity & Inclusion Functional Leadership in Company	Diversity, Equity & Inclusion Functional Leadership on Another Board	Diversity, Equity & Inclusion Working Knowledge but not Expertise	Diversity, Equity & Inclusion Limited Knowledge
ESG	ESG Functional Leadership in Company	ESG Functional Leadership on Another Board	ESG Working Knowledge but not Expertise	ESG Limited Knowledge
Sustainability	Sustainability Functional Leadership in Company	Sustainability Functional Leadership on Another Board	Sustainability Working Knowledge but not Expertise	Sustainability Limited Knowledge

Question Title

* 7. In which geographical area is your company headquartered?

Northeast

Mid-Atlantic

Southeast

Midwest

Northwest

Southwest

West

International

Question Title

* 8. In which geographical area do you primarily work?

Northeast

Mid-Atlantic

Southeast

Midwest

Northwest

Southwest

West

International

Demographic Diversity

As ACCP continues to live out our commitment to diversity, equity, and inclusion, we are asking prospective nominees for our Board of Directors to tell us more about themselves. Collecting demographic data enables us to better understand the backgrounds of potential leaders, prioritize the inclusion of underrepresented voices, and accurately reflect the composition of our Board of Directors in applications or surveys. Answering any or all of these questions is optional. The information will only be shared in aggregate and individual details about an applicant or Board member will not be shared without explicit consent.

Question Title

* 9. How do you publicly self-identify your race?

Black, African American, or African

Arab or Arab American

Asian or Asian American

Native Hawaiian or Pacific Islander

Hispanic, Latino, Latina, or Latine

Native American, Native Alaskan, or Indigenous

White, Caucasian, or European

Multi-racial or multi-ethnic

Decline to state

Prefer to self-describe:

Question Title

* 10. Are you of Hispanic, Latino/a/e, or Spanish origin? (One or more categories may be selected)

No, not of Hispanic, Latino/a/e, or Spanish origin

Yes, Mexican, Mexican American, or Chicano/a/e

Yes, Puerto Rican

Yes, Cuban

Yes, another Hispanic, Latino/a/e, or Spanish origin

Decline to state

Prefer to self-describe:

Question Title

* 11. How do you publicly self-identify your gender?

Female

Male

Gender non-binary or gender non-confirming

Transgender

Cisgender

Agender

Genderqueer

Decline to state

Prefer to self-describe:

Question Title

* 12. What pronouns do you use to publicly self-identify?

He/His/Him

She/Her/Hers

They/Them/Theirs

Ze/Hir/Hirs

Ze/Zir/Zirs

Decline to state

Prefer to self-describe:

Question Title

* 13. How do you publicly identify your sexual orientation?

Heterosexual or straight

Gay or lesbian

Bisexual

Queer

Asexual

Decline to state

Prefer to self-describe:

Question Title

* 14. To what generation does your age correspond?

Boomers (1946-1964)

Gen X (1965-1980)

Millennial (1981-1996)

Gen Z (1997 and beyond)

Prefer not to answer

Question Title

* 15. Are you a veteran of the U.S. Armed Forces, Reserves, or National Guard?

Yes

Prefer not to answer

Question Title

* 16. Do you identify as having a disability?

I identify as a person with a disability.

I do not identify as a person with a disability.

Decline to state

Personal Statement

Question Title

* 17. Please provide a statement of ~200 words highlighting your relevant qualifications for the position. In your statement, please address the following:

1.) How your career history and experiences would strengthen the Board of Directors.
2.) Your commitment to ACCP and why you are seeking a role on the Board.

2022-23 ACCP Board Nomination Application

Question Title

* 1. Contact Information

Question Title

* 2. Are you the department or division head?

Question Title

* 3. If no, how many levels are between you and the department or division head?

Question Title

* 4. Number of years in CSR field:

Question Title

* 5. Other Boards or committees on which you currently serve:

Question Title

* 6. Please indicate any relevant functional expertise as defined below:
1) on-the-job responsibility (2+ yrs.)
2) functional leadership on another board (2+ yrs)
3) working knowledge of the function but not expertise
4) limited knowledge
Please choose one answer for each area.

Question Title

* 7. In which geographical area is your company headquartered?

Question Title

* 8. In which geographical area do you primarily work?

Question Title

* 9. How do you publicly self-identify your race?

Question Title

* 10. Are you of Hispanic, Latino/a/e, or Spanish origin? (One or more categories may be selected)

Question Title

* 11. How do you publicly self-identify your gender?

Question Title

* 12. What pronouns do you use to publicly self-identify?

Question Title

* 13. How do you publicly identify your sexual orientation?

Question Title

* 14. To what generation does your age correspond?

Question Title

* 15. Are you a veteran of the U.S. Armed Forces, Reserves, or National Guard?

Question Title

* 16. Do you identify as having a disability?

Question Title

Question Title

* 18. In what ways would your corporate leadership support your service on the ACCP Board? Do you have any concerns about it?

Question Title

* 19. Is there any other information or details you would like to share that would shed light on your candidacy?

2022-23 ACCP Board Nomination Application

Question Title

* 1. Contact Information

Question Title

* 2. Are you the department or division head?

Question Title

* 3. If no, how many levels are between you and the department or division head?

Question Title

* 4. Number of years in CSR field:

Question Title

* 5. Other Boards or committees on which you currently serve:

Question Title

* 6. Please indicate any relevant functional expertise as defined below: 1) on-the-job responsibility (2+ yrs.)2) functional leadership on another board (2+ yrs)3) working knowledge of the function but not expertise 4) limited knowledgePlease choose one answer for each area.

Question Title

* 7. In which geographical area is your company headquartered?

Question Title

* 8. In which geographical area do you primarily work?

Question Title

* 9. How do you publicly self-identify your race?

Question Title

* 10. Are you of Hispanic, Latino/a/e, or Spanish origin? (One or more categories may be selected)

Question Title

* 11. How do you publicly self-identify your gender?

Question Title

* 12. What pronouns do you use to publicly self-identify?

Question Title

* 13. How do you publicly identify your sexual orientation?

Question Title

* 14. To what generation does your age correspond?

Question Title

* 15. Are you a veteran of the U.S. Armed Forces, Reserves, or National Guard?

Question Title

* 16. Do you identify as having a disability?

Question Title

Question Title

* 18. In what ways would your corporate leadership support your service on the ACCP Board? Do you have any concerns about it?

Question Title

* 19. Is there any other information or details you would like to share that would shed light on your candidacy?

* 6. Please indicate any relevant functional expertise as defined below:
1) on-the-job responsibility (2+ yrs.)
2) functional leadership on another board (2+ yrs)
3) working knowledge of the function but not expertise
4) limited knowledge
Please choose one answer for each area.