Campaign for 20% Advisory Circle Profile

Thank you for your interest in joining the Campaign for 20% Advisory Circle. The Circle will be made up of CEOs, Executive Directors, or senior leadership team members appointed by the CEO or Executive Director. Members may appoint an alternate to stand in for them or accompany them to meetings.

This form should be completed by the individual who you would like to have serving on the Advisory Circle.

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* 1. Please provide the name of the organization, association, or coalition you represent. If you are retired from the human service sector and/or are self-employed as an advisor to the sector, please indicate your relationship to the sector.

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* 2. Please provide the name of the individual who would serve on the Campaign for 20% Advisory Circle.

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* 3. What is your title?

CEO or ED

Policy or Advocacy Director (or similar title)

CFO or Controller

Other (please specify)

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* 4. If you were appointed to serve on the Campaign for 20% Advisory Circle, do you:

	Yes	No
Commit to working toward changes that will ensure that human service organizations are paid the full cost of delivering the services for which we are contacted, including sufficient overhead to invest in innovation and reserves?	Commit to working toward changes that will ensure that human service organizations are paid the full cost of delivering the services for which we are contacted, including sufficient overhead to invest in innovation and reserves? Yes	Commit to working toward changes that will ensure that human service organizations are paid the full cost of delivering the services for which we are contacted, including sufficient overhead to invest in innovation and reserves? No
Commit to remaining personally involved in the State-wide campaign?	Commit to remaining personally involved in the State-wide campaign? Yes	Commit to remaining personally involved in the State-wide campaign? No
Commit to focusing efforts exclusively on contract reform and a 2025 bill with a zero fiscal note (without asking for additional funding as a part of this effort, for example)?	Commit to focusing efforts exclusively on contract reform and a 2025 bill with a zero fiscal note (without asking for additional funding as a part of this effort, for example)? Yes	Commit to focusing efforts exclusively on contract reform and a 2025 bill with a zero fiscal note (without asking for additional funding as a part of this effort, for example)? No
Have experience and familiarity with human service sector practices in government contracting and accounting?	Have experience and familiarity with human service sector practices in government contracting and accounting? Yes	Have experience and familiarity with human service sector practices in government contracting and accounting? No
Have direct experience negotiating, reviewing and/or managing at least one government contract for human services?	Have direct experience negotiating, reviewing and/or managing at least one government contract for human services? Yes	Have direct experience negotiating, reviewing and/or managing at least one government contract for human services? No
Have the ability to illustrate the adverse impact of the current contracting system on your organization or sector?	Have the ability to illustrate the adverse impact of the current contracting system on your organization or sector? Yes	Have the ability to illustrate the adverse impact of the current contracting system on your organization or sector? No
Agree to leave your personal, agency or association agenda at the door and work on behalf of the group as a whole?	Agree to leave your personal, agency or association agenda at the door and work on behalf of the group as a whole? Yes	Agree to leave your personal, agency or association agenda at the door and work on behalf of the group as a whole? No