YMCA of Greater Cincinnati - Branch Advisory Board Interest Survey

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* 1. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Which YMCA Branch Advisory Board are you interested in joining?

Blue Ash

Camp Ernst

Campbell County

Central Parkway

Clermont County

Clippard

Gamble Nippert

Highland County

Lyons

Powel Crosley

RC Durr

Youth Champions

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* 3. Why are you interested in joining a YMCA Advisory Board?

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* 4. Do you have an affiliation with the YMCA? Please share your YMCA Story.

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* 5. What is your educational background?

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* 6. What talents and/or skills will you bring to the Advisory Board?

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* 7. Previous or Current Board Experience?

Organization/Position(s)/Years

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* 8. Any additional information you would like to share?

Information Form

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* 9. Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 10. Race/Ethnic Background

White/Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Multiracial

Another race

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* 11. Gender

Female

Male

Genderqueer/Non-Binary

Other