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YMCA of Greater Cincinnati - Branch Advisory Board Interest Survey
1.
Address
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
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
3.
Why are you interested in joining a YMCA Advisory Board?
4.
Do you have an affiliation with the YMCA? Please share your YMCA Story.
5.
What is your educational background?
6.
What talents and/or skills will you bring to the Advisory Board?
7.
Previous or Current Board Experience?
Organization/Position(s)/Years
Organization/Position(s)/Years
Organization/Position(s)/Years
Organization/Position(s)/Years
8.
Any additional information you would like to share?
Information Form
9.
Age
Under 18
18-24
25-34
35-44
45-54
55-64
65+
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
11.
Gender
Female
Male
Genderqueer/Non-Binary
Other